Methods of effecting Wnt signaling through Dkk structural analysis

ABSTRACT

Compositions and methods related to Wnt signaling regulation by Dickkopf (Dkk) polypeptides and Wnt-related diseases are disclosed. For example, compounds that bind a Dkk or LRP polypeptide are disclosed. Compounds that disrupt binding of a Dkk polypeptide to an LRP polypeptide are also disclosed. Methods for using the described compounds and compositions are also disclosed.

CROSS-REFERENCE TO RELATED U.S. APPLICATIONS

This application claims priority to U.S. Provisional Application No. 61/130,198, which is incorporated by reference in its entirety herein.

GOVERNMENT FUNDING

This invention was created with Government support under grant number GM081492 awarded by the National Institutes of Health. The Government has certain rights to this invention.

INCORPORATION-BY-REFERENCE & TEXTS

The material in the accompanying sequence listing is hereby incorporated by reference into this application. The accompanying file, named ENZ83.txt, was created on May 20, 2009.

BACKGROUND OF THE INVENTION

1. Technical Field

The present invention is generally directed to compositions and methods related to Wnt signaling regulation by Dickkopf (Dkk) polypeptides.

2. Background Information

Dickkopf (Dkk) proteins are antagonists of the canonical Wnt signaling pathway and are important for embryonic cell fate and bone formation. Abnormal Dkk function has been implicated in cancers, bone diseases, and Alzheimer disease. Wnt antagonism by Dkk involves the binding of the C-terminal cysteine-rich domain of Dkk to Wnt co-receptor, LRP5/6. However, the structural basis of this interaction is unknown.

SUMMARY OF THE INVENTION

This document provides methods and compositions related to Wnt signaling regulation by Dickkopf (Dkk) polypeptides and Wnt-related diseases. The methods and compositions provided herein are based, in part, on the discovery of the molecular interaction between Dkk and LRP5.

Provided in this document are the structure of the Dkk C-terminal cysteine-rich domain and its interactions with LRP5/6. Using NMR spectroscopy, we determined the solution structure of the C-terminal cysteine-rich domain of mouse Dkk2 (Dkk2C2). Then, guided by mutagenesis studies, we docked Dkk2C2 to the YWTD (SEQ ID NO: 19) β-propeller domains of LRP5/6 and showed that the ligand binding site of the third LRP5/6 β-propeller domain matches Dkk2C2 best, suggesting that this domain binds to Dkk2C2 with higher affinity. Such differential binding affinity is likely to play a role in Dkk function in the canonical Wnt pathway.

Provided herein is a compound that disrupts the interaction of a Dickkopf (Dkk) polypeptide with an LDL receptor-related protein (LRP) polypeptide. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a cysteine-rich domain of a Dkk polypeptide (e.g., Dkk2C or Dkk1C). The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be β-propeller domain of a LRP5 polypeptide (e.g., LRP5-PD1, LRP5-PD2, or LRP5-PD3). The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be β-propeller domain of a LRP6 polypeptide (e.g., LRP6-PD 1, LRP6-PD2, or LRP6-PD3).

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO: 1, SEQ ID NO:2, SEQ ID NO:3, or SEQ ID NO:4.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

In another embodiment, this document provides a compound that disrupts binding of SEQ ID NO:1 to SEQ ID NO:3.

In another embodiment, this document provides a compound that disrupts binding of SEQ ID NO: 1 to SEQ ID NO:4.

In a further embodiment, this document provides a compound that disrupts binding of SEQ ID NO:2 to SEQ ID NO:3.

In another embodiment, this document provides a compound that disrupts binding of SEQ ID NO:2 to SEQ ID NO:4.

This document also provides a compound that forms a hydrogen bond with E721, Y719, and/or D887 of the third propeller domain of human LRP5, and/or a hydrophobic interaction with W780 and/or F888 of the third propeller domain of human LRP5. The hydrogen bond can be with amino acid 77, 79, and/or 245 of SEQ ID NO:3, and the hydrophobic interaction can be with amino acid 138 and/or 246 of SEQ ID NO:3.

Also provided herein is a compound that forms a hydrogen bond with Y706, E708 and/or D874 of the third propeller domain of human LRP6, and/or a hydrophobic interaction with W767 and/or F875 of the third propeller domain of human LRP6. The hydrogen bond can be with amino acid 77, 79, and/or 245 of SEQ ID NO:4, and the hydrophobic interaction can be with amino acid 138 and/or 246 of SEQ ID NO:4.

The compounds can disrupt the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a Dkk2C or Dkk1C. The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be an LRP5-PD1, LRP5-PD2, or LRP5-PD3. The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be an LRP6-PD1, LRP6-PD2, or LRP6-PD3.

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO: 1 or SEQ ID NO:2.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

Also provided herein is a compound that forms a hydrogen bond with H198, R230, and/or K205 of mouse Dkk2, and/or a hydrophobic interaction with W200, F199, L253, and/or I227 of mouse Dkk2. The hydrogen bond can be with amino acid 27, 59, and/or 34 of SEQ ID NO: 1. The hydrophobic interaction can be with amino acid 28, 29, 82, and/or 56 of SEQ ID NO:1

This document also provides a compound that forms a hydrogen bond with H210, R242, and/or K217 of mouse Dkk1, and/or a hydrophobic interaction with W212, F211, L266, and/or I239 of mouse Dkk1. The hydrogen bond can be with amino acid 27, 59, and/or 34 of SEQ ID NO:2. The hydrophobic interaction can be with amino acid 28, 29, 83, and/or 56 of SEQ ID NO:2.

The compounds can disrupt the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a Dkk2C or Dkk1C. The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be an LRP5-PD1, LRP5-PD2, or LRP5-PD3. The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be an LRP6-PD 1, LRP6-PD2, or LRP6-PD3.

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO:3, or SEQ ID NO:4.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

Also provided is a composition that modulates Dkk or Wnt activity in a cell, where the composition comprises a compound that disrupts the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk or Wnt activity can be increased or decreased. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a Dkk2C or Dkk1C. The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be an LRP5-PD1, LRP5-PD2, or LRP5-PD3. The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be an LRP6-PD1, LRP6-PD2, or LRP6-PD3.

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO: 1, SEQ ID NO:2, SEQ ID NO:3, or SEQ ID NO:4.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

Provided herein is a method for modulating Dkk or Wnt activity in a cell. The method comprises administering to the cell a compound that disrupts the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk or Wnt activity can be increased or decreased. The cell can be mammalian (e.g., human, mouse, rat, dog, cat, bovine, or equine). The cell can be an osteoblast or a cancer cell (e.g., colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, or bladder cancer). The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a Dkk2C or Dkk1C. The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be an LRP5-PD1, LRP5-PD2, or LRP5-PD3. The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be an LRP6-PD1, LRP6-PD2, or LRP6-PD3. The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO:1, SEQ ID NO:2, SEQ ID NO:3, or SEQ ID NO:4. In some cases, the compound can be a small molecule.

In another embodiment, this document provides a method for modulating Dkk or Wnt activity in a cell. The method comprises administering to the cell a compound that forms a hydrogen bond with E721, Y719, and/or D887 of the third propeller domain of human LRP5, and/or a hydrophobic interaction with W780 or F888 of the third propeller domain of human LRP5. The hydrogen bond can be with amino acid 77, 79, and/or 245 of SEQ ID NO:3. The hydrophobic interaction can be with amino acid 138 and/or 246 of SEQ ID NO:3.

This document also provides a method for modulating or Wnt activity in a cell. The method comprises administering to the cell a compound that forms a hydrogen bond with Y706, E708 and/or D874 of the third propeller domain of human LRP6, and/or a hydrophobic interaction with W767, or F875 of the third propeller domain of human LRP6. The hydrogen bond can be with amino acid 77, 79, and/or 245 of SEQ ID NO:4. The hydrophobic interaction can be with amino acid 138 and/or 246 of SEQ ID NO:4.

The Dkk or Wnt activity can be increased or decreased. The cell can be mammalian (e.g., human, mouse, rat, dog, cat, bovine, or equine). The cell can be an osteoblast or a cancer cell (e.g., colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, or bladder cancer).

The compounds can disrupt the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a Dkk2C or Dkk1C. The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be an LRP5-PD1, LRP5-PD2, or LRP5-PD3. The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be an LRP6-PD1, LRP6-PD2, or LRP6-PD3.

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO: 1 or SEQ ID NO:2.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

In another embodiment, a method for modulating Dkk or Wnt activity in a cell is provided. The method comprises administering to the cell a compound that forms a hydrogen bond with H198, R230, and/or K205 of mouse Dkk2, and/or a hydrophobic interaction with W200, F199, L253, and/or I227 of mouse Dkk2. The hydrogen bond can be with amino acid 27, 59, and/or 34 of SEQ ID NO: 1. The hydrophobic interaction can be with amino acid 28, 29, 82, and/or 56 of SEQ ID NO: 1

This document also provides a method for modulating Dkk or Wnt activity in a cell, where the method comprises administering to the cell a compound that forms a hydrogen bond with H210, R242, and/or K217 of mouse Dkk1, and/or a hydrophobic interaction with W212, F211, L266, and/or I239 of mouse Dkk1. The hydrogen bond can be with amino acid 27, 59, and/or 34 of SEQ ID NO:2. The hydrophobic interaction can be with amino acid 28, 29, 83, and/or 56 of SEQ ID NO:2.

The Dkk or Wnt activity can be increased or decreased. The cell can be mammalian (e.g., human, mouse, rat, dog, cat, bovine, or equine). The cell can be an osteoblast or a cancer cell (e.g., colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, or bladder cancer).

The compounds can disrupt the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a Dkk2C or Dkk1C. The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be an LRP5-PD1, LRP5-PD2, or LRP5-PD3. The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be an LRP6-PD1, LRP6-PD2, or LRP6-PD3.

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO:3, or SEQ ID NO:4.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

Provided herein is a method for identifying a compound that modulates Dkk or Wnt activity in a cell. The method comprises: a) providing a molecular model of an LRP β-propeller domain; b) designing a query to conduct a conformational search for compounds that fit a receptor site in the LRP β-propeller domain; c) screening a plurality of compounds to identify compounds that meet the requirements of the query; and d) determining whether any one of the identified compounds modulates Dkk or Wnt activity in a cell. The LRP β-propeller domain can be an LRP5-PD (e.g., LRP5-PD1, LRP5-PD2, or LRP5-PD3). The query can be designed using SYBYL® software. The screening can be done using UNITY® software. The determining step can be done using a transcription assay (e.g., by measuring LEF-1 activity or Siamois expression), or by using a Xenopus embryo secondary axis formation model.

The method can further include the step of docking the identified compounds into the receptor site using a computer program, and removing identified compounds that do not dock into the receptor site. Docking can be done using FlexX™ software. In some cases, docking can be done using done using HADDOCK software. Docking done using HADDOCK software can be with an LRP5-PD3, where amino acids Y719, E721, R764, W780, D887, and F888 of said LRP5-PD3 can be defined as active residues, and R652, A653, V694, K697, D718, Q737, G738, N762, G781, P784, R805, W863, H866, and M890 can be defined as passive residues.

The method can further comprise the step of ranking the identified compounds on the basis of their predicted ability to bind to the receptor site. Ranking can be done using Cscore™ software. Ranking can be done using Fscore™ scores.

The method can further comprise the step of determining whether the identified compounds bind to the receptor site using NMR spectroscopy.

The method can further comprise the step of determining the binding affinity of the identified compounds bind to the receptor site using fluorescence spectroscopy.

Provided herein is a method for identifying a compound that modulates Dkk or Wnt activity in a cell. The method comprises: a) providing a molecular model of a Dkk cysteine-rich domain; b) designing a query to conduct a conformational search for compounds that fit a receptor site in the Dkk cysteine-rich domain; c) screening a plurality of compounds to identify compounds that meet the requirements of the query; and d) determining whether any one of the identified compounds modulates Dkk or Wnt activity in a cell. The Dkk cysteine-rich domain can be Dkk2C or a Dkk1C (e.g., Dkk2C2 or Dkk1C2). The query can be designed using SYBYL® software. The screening can be done using UNITY® software. The determining step can be done using a transcription assay (e.g., by measuring LEF-1 activity or Siamois expression), or by using a Xenopus embryo secondary axis formation model.

The method can further include the step of docking the identified compounds into the receptor site using a computer program, and removing identified compounds that do not dock into the receptor site. Docking can be done using FlexX™ software. In some cases, docking can be done using done using HADDOCK software. Docking done using HADDOCK software can be with a Dkk2C2, where amino acids H198, K205, R230, and H254 of said Dkk2C2 are defined as active residues, and E179, F199, W200, T201, L203, P206, E212, V213, K216, Q217, E226, 1227, Q229, V241, T246, S249, R252, and L253 are defined as passive residues. Docking done using HADDOCK software can be with a Dkk1C2, where amino acids H210, K217, R242, and H267 of said Dkk1C2 are defined as active residues, and E191, F211, W212, T213, L215, P218, V225, K228, E238, 1239, Q241, S261, R265, and L266 are defined as passive residues.

The method can further comprise the step of ranking the identified compounds on the basis of their predicted ability to bind to the receptor site. Ranking can be done using Cscore™ software. Ranking can be done using Fscore™ scores.

The method can further comprise the step of determining whether the identified compounds bind to the receptor site using NMR spectroscopy.

Provided herein is a method of treating a mammal (e.g., a human, mouse, rat, dog, cat, bovine, or equine) having a Wnt-related disease, where the method comprises administering to the mammal a compound that disrupts the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a cysteine-rich domain of a Dkk polypeptide (e.g., Dkk2C or Dkk1C). The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be β-propeller domain of a LRP5 polypeptide (e.g., LRP5-PD1, LRP5-PD2, or LRP5-PD3). The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be β-propeller domain of a LRP6 polypeptide (e.g., LRP6-PD1, LRP6-PD2, or LRP6-PD3).

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO: 1, SEQ ID NO:2, SEQ ID NO:3, or SEQ ID NO:4.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

The Wnt-related disease can be cancer (e.g., colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, or bladder cancer). The Wnt-related disease can be rheumatoid arthritis, schizophrenia, Alzheimer's disease, or increased bone density.

Also provided herein is a method of treating a mammal (e.g., a human, mouse, rat, dog, cat, bovine, or equine) having a Wnt-related disease, where the method comprises administering to the mammal a compound that forms a hydrogen bond with E721, Y719, and/or D887 of the third propeller domain of human LRP5, and/or a hydrophobic interaction with W780 and/or F888 of the third propeller domain of human LRP5. The hydrogen bond can be with amino acid 77, 79, and/or 245 of SEQ ID NO:3. The hydrophobic interaction can be with amino acid 138 and/or 246 of SEQ ID NO:3.

This document also provides a method of treating a mammal (e.g., a human, mouse, rat, dog, cat, bovine, or equine) having a Wnt-related disease, where the method comprises administering to the mammal a compound that forms a hydrogen bond with Y706, E708 and/or D874 of the third propeller domain of human LRP6, and/or a hydrophobic interaction with W767 and/or F875 of the third propeller domain of human LRP6. The hydrogen bond can be with amino acid 77, 79, and/or 245 of SEQ ID NO:4. The hydrophobic interaction can be with amino acid 138 and/or 246 of SEQ ID NO:4.

The compounds can disrupt the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a Dkk2C or Dkk1C. The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be an LRP5-PD1, LRP5-PD2, or LRP5-PD3. The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be an LRP6-PD1, LRP6-PD2, or LRP6-PD3.

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO: 1 or SEQ ID NO:2.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

The Wnt-related disease can be cancer (e.g., colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, or bladder cancer). The Wnt-related disease can be rheumatoid arthritis, schizophrenia, Alzheimer's disease, or increased bone density.

Provided herein is a method of treating a mammal (e.g., a human, mouse, rat, dog, cat, bovine, or equine) having a Wnt-related disease, where the method comprises administering to the mammal a compound that forms a hydrogen bond with H198, R230, or K205 of mouse Dkk2, and/or a hydrophobic interaction with W200, F199, L253, or I227 of mouse Dkk2. The hydrogen bond can be with amino acid 27, 59, and/or 34 of SEQ ID NO: 1. The hydrophobic interaction can be with amino acid 28, 29, 82, and/or 56 of SEQ ID NO: 1.

This document also provides a method of treating a mammal (e.g., a human, mouse, rat, dog, cat, bovine, or equine) having a Wnt-related disease, where the method comprises administering to the mammal a compound that forms a hydrogen bond with H210, R242, or K217 of mouse Dkk1, and/or a hydrophobic interaction with W212, F211, L266, or I239 of mouse Dkk1. The hydrogen bond can be with amino acid 27, 59, and/or 34 of SEQ ID NO:2. The hydrophobic interaction can be with amino acid 28, 29, 83, and/or 56 of SEQ ID NO:2.

The compounds can disrupt the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a Dkk2C or Dkk1C. The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be an LRP5-PD1, LRP5-PD2, or LRP5-PD3. The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be an LRP6-PD1, LRP6-PD2, or LRP6-PD3.

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO:3 or SEQ ID NO:4.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

The Wnt-related disease can be cancer (e.g., colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, or bladder cancer). The Wnt-related disease can be rheumatoid arthritis, schizophrenia, Alzheimer's disease, or increased bone density.

This document also provides a method of treating a mammal (e.g., a human, mouse, rat, dog, cat, bovine, or equine) having a Wnt-related disease. The method comprises administering to the mammal a composition that modulates Dkk or Wnt activity in a cell, where the composition comprises a compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk or Wnt activity can be increased or decreased. The cell can be mammalian (e.g., human, mouse, rat, dog, cat, bovine, or equine). The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a Dkk2C or Dkk1C. The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be an LRP5-PD1, LRP5-PD2, or LRP5-PD3. The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be an LRP6-PD 1, LRP6-PD2, or LRP6-PD3. The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO: 1, SEQ ID NO:2, SEQ ID NO:3, or SEQ ID NO:4. In some cases, the compound can be a small molecule.

The Wnt-related disease can be cancer (e.g., colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, or bladder cancer). The Wnt-related disease can be rheumatoid arthritis, schizophrenia, Alzheimer's disease, or increased bone density.

Also provided herein is a composition comprising a compound that disrupts the interaction of a Dkk polypeptide with an LRP polypeptide and a pharmaceutically acceptable carrier. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a cysteine-rich domain of a Dkk polypeptide (e.g., Dkk2C or Dkk1C). The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be β-propeller domain of a LRP5 polypeptide (e.g., LRP5-PD1, LRP5-PD2, or LRP5-PD3). The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be β-propeller domain of a LRP6 polypeptide (e.g., LRP6-PD1, LRP6-PD2, or LRP6-PD3).

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO: 1, SEQ ID NO:2, SEQ ID NO:3, or SEQ ID NO:4.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

The composition can be formulated for administration by inhalation, oral, intravenous, intraperitoneal, intramuscular, parenteral, transdermal, intravaginal, intranasal, mucosal, sublingual, topical, rectal, or subcutaneous administration. The composition can be formulated as a pill, a tablet, a dragee, a liquid, a gel, a capsule, a syrup, a slurry, or a suspension.

Provided herein is a composition comprising a compound and a pharmaceutically acceptable carrier, where the compound forms a hydrogen bond with E721, Y719, and/or D887 of the third propeller domain of human LRP5, and/or a hydrophobic interaction with W780 and/or F888 of the third propeller domain of human LRP5. The hydrogen bond can be with amino acid 77, 79, and/or 245 of SEQ ID NO:3. The hydrophobic interaction can be with amino acid 138 and/or 246 of SEQ ID NO:3.

This document also provides a composition comprising a compound and a pharmaceutically acceptable carrier, where the compound forms a hydrogen bond with Y706, E708 and/or D874 of the third propeller domain of human LRP6, and/or a hydrophobic interaction with W767 and/or F875 of the third propeller domain of human LRP6. The hydrogen bond can be with amino acid 77, 79, and/or 245 of SEQ ID NO:4. The hydrophobic interaction can be with amino acid 138 and/or 246 of SEQ ID NO:4.

The compounds can disrupt the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a Dkk2C or Dkk1C. The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be an LRP5-PD1, LRP5-PD2, or LRP5-PD3. The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be an LRP6-PD1, LRP6-PD2, or LRP6-PD3.

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO: 1 or SEQ ID NO:2.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

The composition can be formulated for administration by inhalation, oral, intravenous, intraperitoneal, intramuscular, parenteral, transdermal, intravaginal, intranasal, mucosal, sublingual, topical, rectal, or subcutaneous administration. The composition can be formulated as a pill, a tablet, a dragee, a liquid, a gel, a capsule, a syrup, a slurry, or a suspension.

Further provided herein is a composition comprising a compound and a pharmaceutically acceptable carrier, where the compound forms a hydrogen bond with H198, R230, and/or K205 of mouse Dkk2, and/or a hydrophobic interaction with W200, F199, L253, and/or I227 of mouse Dkk2. The hydrogen bond can be with amino acid 27, 59, and/or 34 of SEQ ID NO: 1. The hydrophobic interaction can be with amino acid 28, 29, 82, and/or 56 of SEQ ID NO: 1.

This document also provides a composition comprising a compound and a pharmaceutically acceptable carrier, where the compound forms a hydrogen bond with H210, R242, or K217 of mouse Dkk1, and/or a hydrophobic interaction with W212, F211, L266, and/or I239 of mouse Dkk1. The hydrogen bond can be with amino acid 27, 59, and/or 34 of SEQ ID NO:2. The hydrophobic interaction can be with amino acid 28, 29, 83, and/or 56 of SEQ ID NO:2.

The compounds can disrupt the interaction of a Dkk polypeptide with an LRP polypeptide. The Dkk polypeptide can be a Dkk2 polypeptide or a Dkk1 polypeptide. The Dkk polypeptide can be a mouse Dkk polypeptide or a human Dkk polypeptide. The Dkk polypeptide can be a Dkk2C or Dkk1C. The cysteine-rich domain of a Dkk polypeptide can be a Dkk2C2 or a Dkk1C2. The LRP polypeptide can be an LRP5 polypeptide (e.g., a mouse or a human LRP5 polypeptide). The LRP5 polypeptide can be an LRP5-PD1, LRP5-PD2, or LRP5-PD3. The LRP polypeptide can be an LRP6 polypeptide (e.g., a mouse or a human LRP6 polypeptide). The LRP6 polypeptide can be an LRP6-PD 1, LRP6-PD2, or LRP6-PD3.

The compound can be a polypeptide. Such a polypeptide can have a sequence having at least 60% identity to SEQ ID NO:3 or SEQ ID NO:4.

In some cases, the compound can be a small molecule.

The compound can be a Wnt agonist or antagonist.

The composition can be formulated for administration by inhalation, oral, intravenous, intraperitoneal, intramuscular, parenteral, transdermal, intravaginal, intranasal, mucosal, sublingual, topical, rectal, or subcutaneous administration. The composition can be formulated as a pill, a tablet, a dragee, a liquid, a gel, a capsule, a syrup, a slurry, or a suspension.

Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention pertains. Although methods and materials similar or equivalent to those described herein can be used to practice the invention, suitable methods and materials are described below. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety. In case of conflict, the present specification, including definitions, will control. In addition, the materials, methods, and examples are illustrative only and not intended to be limiting.

The details of one or more embodiments of the invention are set forth in the accompanying drawings and the detailed description set forth below. Other features, objects, and advantages of the invention will be apparent from the description and drawings, and from the claims.

DESCRIPTION OF THE DRAWINGS

FIG. 1. Inhibition of Wnt3a activities mediated by recombinant Dkk2C2. A, SDS-PAGE of recombinant Dkk2C2 expressed and purified from an E. coli system. B, effects of Dkk2C2 on canonical Wnt signaling activity. NIH3T3 cells were transfected with a LEF-1 luciferase reporter plasmid and a green fluorescent protein expression plasmid. The next day, cells were treated with Dkk2C2 solution with the indicated concentrations and Wnt3a conditioned medium (50 ng/ml) for 6 h. The cells were then lysed, and luciferase activities were determined and normalized against the green fluorescent protein levels after 6 h. The activity from cells treated with Wnt3a only was taken as 100%. Two experiments were done individually, and the average values were taken as the results. C, in vitro binding of Dkk2C2 to LRP5-PD1 detected by pulldown experiments and Western blotting assay. LRP5-PD1-HA-containing conditioned medium (CM) in the indicated volume was incubated with purified S-tagged Dkk2C2-coupled S-protein-agarose (lanes 2-4) or with S-protein-agarose only (lanes 5-7), respectively. After extensive washing, LRP5-PD1 bound to Dkk2C2 were detected using an HA antibody specific to an HA tag carried by LRP5-PD1 in Western blotting assay. Lane 1, expression of LRP5-PD1 in conditioned medium was detected by HA antibody.

FIG. 2. Solution structure of Dkk2C2. A, amino acid sequence alignment of C-terminal cysteine-rich domains of Dkks in mouse (m), human (h), Xenopus (x), rabbit (r), and zebrafish (z). β strand elements identified in the three-dimensional structure of Dkk2C2 are indicated at the top. Ten conserved cysteines are in bold type, and pairs of cysteines forming disulfide bridges are colored identically and linked by lines. Amino acids that contact the third β-propeller domain of LRP5 in the docked model are in bold and indicated by the dots. B, stereo view of the peptide backbone (N, C-α, C′) determined by superimposition of 20 conformers of Dkk2C2 with the lowest target function values. The figure was generated by using MOLMOL [39]. C, ribbon diagram of Dkk2C2 with the lowest target function values, generated by using MOLSCRIPT [40]. FIG. 2 discloses SEQ ID NOS 1, 5-6, 2 and 7-12, respectively, in order of appearance.

FIG. 3. Plot of backbone amide heteronuclear ¹⁵N[¹H]NOE values versus residue number for the Dkk2C2. The steady-state heteronuclear ¹⁵N[¹H]NOE value is plotted versus the residue number measured with a Bruker 600-MHz spectrometer at 25° C. The secondary structure elements and disulfide brides in the Dkk2C2 are indicated at the top; amino acids that contact the third β-propeller domain of LRP5 in the docked model are indicated by the dots. Because the lengths of the N—H bonds are fixed, the ¹⁵N[¹H]NOE provides information about the dynamics of N—H bonds that can be used to determine whether a particular amide is in a well folded or a flexible region of a protein. The arrow indicates the starting residue, Gly¹⁷⁷, of the folded Dkk2C2.

FIG. 4. Ability of Dkk1 and its mutants to bind to LRP6 and antagonize Wnt activity. A, binding of Dkk1 and its mutants to LRP6. HEK cells were transfected with the LRP6 plasmid and 1 day later were incubated on ice with conditioned medium containing wild-type and mutant mouse Dkk1-AP for 2 h. After cells were washed and lysed, the AP activities in cell lysates were determined. The activity resulted from the binding of wild-type Dkk1-AP to LRP6 was taken as 100%. B, effect of Dkk1 and its mutants on the inhibition of Wnt activity. NIH3T3 cells were transfected with a LEF-1 activity reporter plasmid and an enhanced green fluorescent protein plasmid. 24 h after transfection, cells were treated with Wnt3a conditioned medium and wild-type or mutant Dkk1 conditioned medium for 6 h. The luciferase activities in cell lysates were determined as described in the legend to FIG. 1.

FIG. 5. Complex structure of the third β-propeller domain of LRP5 (LRP5-PD3) bound to Dkk2C2. A, a ribbon diagram of the complex of LRP5-PD3 bound to Dkk2C2. B, side chain interactions between Dkk2C2 and LRP5-PD3. Dashed lines represent hydrogen bonds. Residue numbers in brackets are the numbers in mouse Dkk1. Corresponding amino acids in LRP5-PD1 and LRP5-PD2 to those involved in LRP5-PD3 binding interface are listed in the right bottom panel. Figures were generated by using the Pymol program (DeLano Scientific).

FIG. 6. Sequence alignment of YWTD (SEQ ID NO: 19) β-propeller domains. Structural alignment of mouse nidogen-1 and human LDL receptor β-propeller domains and alignment by sequence to the YWTD (SEQ ID NO: 19) β-propeller domains of human LRP5/6. m indicates mouse; h indicates human; the suffixes 1, 2, and 3 refer to the first, second, and third β-propeller domains of LRP5/6, respectively. Each row corresponds to one YWTD (SEQ ID NO: 19) repeat; the offset blade boundaries are indicated by grey lines. Blades are structurally aligned, and β strands of nidogen-1 and LDLR β-propeller domains are underlined. Residues in the third propeller of human LRP5 (hLRP53) known to comprise the Dkk 1/2 binding interface are denoted by boldface type. Residues in nidogen-1 which contact with LE4 or LE3 modules of laminin are in boldface type. FIG. 6 discloses SEQ ID NOS 13-14, 3-4 and 15-18, respectively, in order of appearance.

DETAILED DESCRIPTION

The present invention is directed to compositions and methods related to Dkk regulation of Wnt signaling. A composition related to Dkk regulation of Wnt signaling typically binds to a Dkk cysteine-rich domain or an LRP β-propeller domain. In some cases, such a composition interferes with binding of a Dkk polypeptide to an LRP polypeptide. Such compositions and methods can be used to modulate Dkk or Wnt activity in a cell or treat a Wnt-related disease, such as one caused by abnormal Dkk function (e.g., cancer, bone disease, and Alzheimer disease).

Dkk proteins are antagonists of the canonical Wnt signaling pathway, and are important for embryonic cell fate and bone formation. Abnormal Dkk function has been implicated in cancers, bone diseases, and Alzheimer's disease [1]. Dkk proteins (e.g., Dkk1 and Dkk2) are composed of two characteristic cysteine-rich domains, termed as N-terminal (e.g., Dkk1C1 and Dkk2C1), and C-terminal (e.g., Dkk1C2 and Dkk2C2) cysteine-rich domains, each containing ten conserved cysteines separated by a variable-length spacer region [2]. Wnt antagonism by Dkk involves the binding of the C-terminal cysteine-rich domain of Dkk to the Wnt co-receptor, LDL receptor-related protein 5 or 6 (i.e., LRP5 or LRP6, respectively). The Dkk-LRP5/6 complex antagonizes canonical Wnt signaling by inhibiting LRP5/6 interaction with Wnt and by forming a ternary complex with the transmembrane protein Kremen, which promotes internalization of LRP5/6 The Dkk family has at least four members (e.g., Dkk1, Dkk2, Dkk3, and Dkk4). Dkk1 and Dkk2 share 50% identity in their N-terminal cysteine-rich domains and 70% identity in their C-terminal cysteine-rich domains. We previously found that the C-terminal domain of human DKK1 and 2, which contains the second cysteine-rich region, is sufficient for antagonism of Wnt activity in mammalian cells. The same was also found to be true in Xenopus; the C-terminal domain of Dkk1 and 2 is both necessary and sufficient to inhibit Wnt-stimulated induction of secondary axis development and transcriptional activation of the Siamois promoter, cooperate with a dominant-negative BMP4 receptor to induce head structure development, and physically associate with LRP5/6.

As used herein, the terms Dkk1C and Dkk2C refer to either of the cysteine-rich domains of Dkk1 and Dkk2, respectively. The terms Dkk1C1 and Dkk2C1 refer to the N-terminal cysteine-rich domains of Dkk1 and Dkk2, respectively. The terms Dkk1C2 and Dkk2C2 refer to the C-terminal cysteine-rich domains of Dkk1 and Dkk2, respectively.

Compounds and Compositions

The compounds provided herein typically bind a Dkk polypeptide or an LRP polypeptide. In some cases, a compound provided herein compound can bind to a full-length Dkk protein or a portion thereof (e.g., a Dkk cysteine-rich domain). Such a portion can be an N-terminal Dkk cysteine-rich domain (e.g., Dkk1C1 or Dkk2C1) or a C-terminal Dkk cysteine-rich domain (e.g., Dkk1C2 or Dkk2C2). In other cases, a compound provided herein can bind a full-length LRP protein or a portion thereof (e.g., an LRP5/6 β-propeller domain). An LRP β-propeller domain (LRP-PD) can be any one of six β-propeller domains in each of LRP5 or LRP6. For example, an LRP-PD can be a first, second, or third propeller domain of LRP5 (i.e., LRP5-PD1, LRP5-PD2, or LRP5-PD3, respectively) or a first, second, or third propeller domain of LRP6 (i.e., LRP6-PD1, LRP6-PD2, or LRP6-PD3, respectively). Typically, the compounds provided herein bind a mammalian (e.g., human, mouse, rat, dog, cat, bovine, or equine) Dkk or LRP polypeptide, but can also bind Dkk or LRP polypeptides from other sources, such as Xenopus.

A compound provided herein can interact with specific amino acid residues of a Dkk polypeptide or an LRP polypeptide. Such interactions can be hydrogen bonds and/or hydrophobic interactions. For example, such a compound can form hydrogen bonds or hydrophobic interactions with particular amino acid residues of a Dkk polypeptide. For example, a compound can form a hydrogen bond with one or more amino acid residues (e.g., H198, R230, and/or K205) of mouse Dkk2, or the corresponding amino acid residues in SEQ ID NO: 1. In another example, a compound can form a hydrogen bond with one or more amino acid residues (e.g., H210, R242, and/or K217) of mouse Dkk1, or the corresponding amino acid residues in SEQ ID NO:2. In other cases, a compound can form a hydrophobic interaction with one or more amino acid residues (e.g., W200, F199, L253, and/or I227) of mouse Dkk2, or the corresponding amino acid residues in SEQ ID NO: 1. In yet other cases, a compound can form a hydrophobic interaction with one or more amino acid residues (e.g., W212, F211, L266, and/or I239) of a mouse Dkk1, or the corresponding amino acid residues in SEQ ID NO:2.

In another example, a compound provided herein can form hydrogen bonds or hydrophobic interactions with an LRP polypeptide. For instance, a compound can form a hydrogen bond with one or more amino acid residues (e.g., E721, Y719, and/or D887) of human LRP5, or the corresponding amino acid residues in SEQ ID NO:3. In other cases, a compound can form a hydrogen bond with one or more amino acid residues (e.g., Y706, E708, and/or D874) of human LRP6, or the corresponding amino acid residues in SEQ ID NO:4. In yet other cases, a compound can form a hydrophobic interaction with one or more amino acid residues (e.g., W780 and/or F888) of human LRP5, or the corresponding amino acid residues in SEQ ID NO:3. In other instances, a compound can form a hydrophobic interaction with one or more amino acid residues (e.g., W767 and/or F875), or the corresponding amino acid residues in SEQ ID NO:4.

It is understood that a single compound can form both hydrogen bonds and hydrophobic interactions with a single Dkk polypeptide or LRP polypeptide.

A compound provided herein can bind with an affinity that is less than, equal to, or greater than a natural ligand that binds a Dkk polypeptide or an LRP polypeptide. For example, a compound provided herein can bind with a lower affinity to a Dkk2C2 than an LRP5-PD3. In another example, a compound provided herein can bind with equal or greater affinity to an LRP5-PD3 than a Dkk1C2. In some cases, such compounds and compositions disrupt the interaction of a Dkk (e.g., a Dkk2 or a Dkk1) polypeptide with an LRP (e.g., and LRP5 or an LRP6) polypeptide. For example, a compound can disrupt binding between a polypeptide comprising SEQ ID NO: 1 and a polypeptide comprising SEQ ID NO:3. In another example, a compound can disrupt binding between a polypeptide comprising SEQ ID NO: 1 and a polypeptide comprising SEQ ID NO:4. In yet another example, a compound provided herein can disrupt binding between a polypeptide comprising SEQ ID NO:2 and a polypeptide comprising SEQ ID NO:3 or SEQ ID NO:4.

The compounds provided herein can modulate (e.g., increase or decrease) Dkk or Wnt activity in a cell. Such cells can be mammalian (e.g., human, mouse, rat, dog, cat, bovine, or equine, or from any other source, such as Xenopus. A compound is said to modulate Dkk or Wnt activity when an indicator or Dkk or Wnt activity (e.g., TCF/LEF-1 transcriptional activity, Wnt-responsive gene expression, or Xenopus embryo secondary axis formation) is increased or decreased when said compound is administered to the appropriate cell type.

The compounds provided herein can be any appropriate compound. For example, a compound provided herein can be a polypeptide. As used herein, the term “polypeptide” refers to a compound of two or more subunit amino acids, amino acid analogs, or other peptidomimetics. The subunits may be linked by peptide bonds or other bonds, such as, for example, ester or ether bonds. The term “amino acid” refers to natural and/or unnatural or synthetic amino acids, including D/L optical isomers.

In some cases, a compound provided herein can comprise an amino acid sequence comprising a sequence having 60% or greater sequence (e.g., 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 100%) identity to any of the sequences set forth in SEQ ID NO: 1, SEQ ID NO:2, SEQ ID NO:3, or SEQ ID NO:4. In polypeptides that have less than 100% identity to the sequences set forth in SEQ ID NO: 1, SEQ ID NO:2, SEQ ID NO:3, or SEQ ID NO:4, amino acid residues identified as being involved in binding to a Dkk polypeptide or an LRP polypeptide can be conserved or can be substituted with conservative mutations. For example, amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO: 1 can be conserved or substituted with conservative mutations. In another example, amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 can be conserved or substituted with conservative mutations. In another example, amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 can be conserved or substituted with conservative mutations. In yet another example, amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 can be conserved or substituted with conservative mutations.

In some cases, a compound provided herein can be a small molecule. The small molecule compounds provided herein can be organic or inorganic. Small molecule compounds can be obtained from small molecule libraries such as those maintained at the Developmental Therapeutics Program (DTP) at the National Cancer Institute (NCI).

Compounds provided herein can be identified as binding to a Dkk polypeptide or an LRP polypeptide using any suitable means. For example, a compound provided herein can be identified as binding to a Dkk polypeptide or an LRP polypeptide using in silico, in vitro, or in vivo methods, or any combination thereof.

In some cases, a compound is identified as binding to a Dkk polypeptide or an LRP polypeptide by determining whether the compound modulates Dkk or Wnt activity in a cell. Such a method can include providing a molecular model of an LRP polypeptide or a Dkk polypeptide using an appropriate computer program, designing a query to conduct a conformational search for compounds that fit a receptor site in the respective LRP polypeptide or Dkk polypeptide, screening a plurality of compounds to identify compounds that meet the criteria of the query, and determining whether any of the identified compounds modulates Dkk or Wnt activity in a cell. Such a method can be done using any appropriate tools. For example, a query can be designed using SYBYL® software. In another example, screening can be done using UNITY® software. The determining step can be done using a transcription assay (e.g., LEF-1 activity or Siamois expression) or by using a Xenopus embryo secondary axis formation assay.

In some cases, methods for identifying a compound that binds a Dkk or LRP polypeptide can include a step of docking compounds into the appropriate Dkk or LRP molecular model. Docking can be done using, for example, FlexX™ software or HADDOCK software. In cases where HADDOCK software is used, amino acids in either the Dkk polypeptide or the LRP polypeptide that have been identified as being involved in the ability to modulate Wnt signaling in a cell can be designated as active residues, while other surface amino acids can be identified as passive.

Additional steps for identifying the provided compounds can include ranking identified compounds on the basis of their predicted ability to bind the receptor site using, for example, Cscore™ software; determining whether identified compounds bind to the receptor site using NMR spectroscopy; and/or determining the binding affinity of the identified compounds using, for example, fluorescence spectroscopy.

The compounds provided herein can be included in various compositions. Any appropriate composition is provided herein. For example, a compound provided herein can be included in a therapeutic composition. A composition provided herein can comprise a provided compound and a pharmaceutically acceptable carrier. Such compositions can be formulated to be administered by any appropriate route (e.g., inhalation, oral, intravenous, intraperitoneal, intramuscular, parenteral, transdermal, intravaginal, intranasal, mucosal, sublingual, topical, rectal or subcutaneous). Compositions provided herein can be formulated as a pill, a tablet, a dragee, a liquid, a gel, a capsule, a syrup, a slurry, a suspension, or any other appropriate formulation.

Methods

The provided compounds and compositions can be used in the methods provided herein. For example, the compounds provided herein can be used to modulate (e.g., increase or decrease) Dkk or Wnt activity in a cell.

In some cases, compounds and compositions provided herein can be used to treat a mammal having a Wnt-related disease. For example, the compounds and compositions provided herein can be administered to a mammal in an amount and at a frequency sufficient to reduce or prevent the symptoms of the disease to be treated. Such diseases can include, for example, cancer (e.g., colon, breast, melanoma, head and neck, lung, non-small-cell lung, gastric, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical, leukemia, prostate, and bladder), rheumatoid arthritis, schizophrenia, Alzheimer's disease, and bone disease (e.g., increased bone density).

Articles of Manufacture

Also provided herein are articles of manufacture that comprise a compound or composition provided herein. The articles of manufacture can include appropriate packaging material, such as, but not limited to labels. Articles of manufacture provided herein can also include means of delivering the provided compounds or compositions to a cell or mammal. Such means include reagents for transfection or syringes.

The invention will be further described in the following examples, which do not limit the scope of the invention described in the claims.

EXAMPLES Example 1 Dkk2C2-Mediated Inhibition of Wnt Activity

The recombinant protein Dkk2C2 (amino acids Met¹⁷²-Ile²⁵⁹ of mouse Dkk2) was expressed and purified from an Escherichia coli system as described previously [1,1]. The recombinant protein contained an N-terminal S tag and a thrombin cleavage site between the S tag and Dkk2C2. The purified recombinant Dkk2C2 contained only one single band in SDS-PAGE (FIG. 1A). NIH3T3 cells were seeded in 24-well plates at 4×10⁵ cells/well and transfected with a LEF-1 luciferase reporter plasmid, an enhanced green fluorescent protein plasmid, and LacZ plasmid (total 0.5 μg of DNA/well) by using Lipofectamine and Plus reagent (Invitrogen), as suggested by the manufacturer. 24 h after transfection, cells were treated with Wnt3a conditioned medium and different dosages of purified Dkk2C2 for 6 h. Cells were treated with Wnt3a and vehicle as the control for 6 h. Then cells were lysed, and luciferase activity in the cell lysate was measured as described previously [12]. Luminescence intensity, which represents Wnt activity, was normalized against the fluorescence intensity of enhanced green fluorescent protein.

The Dkk2C2 possessed a significant inhibitory activity on canonical Wnt signaling; it inhibited Wnt3a activities with an IC₅₀ value around 8 nM in the Wnt reporter gene assay (FIG. 1B), indicating the protein we produced is functional.

Example 2 S-Protein Pulldown Experiments and Western Blotting Analysis

For preparation of the first β-propeller domain of mouse LRP5 with HA tag (LRP5-PD 1-HA)-containing conditioned medium, HEK cells were seeded in 6-well plates at 4×10⁵ cells/well and transfected with 1 μg of DNA/well. The conditioned medium was collected 30 h after transfection by centrifugation.

S-protein-agarose was obtained from Novagen, and the pulldown experiments were conducted in accordance with a standard protocol provided by the manufacturer. Briefly, for each pulldown experiment, 300 μl of S-tagged Dkk2C2 (5 μM) was incubated with 200 μl of S-protein-agarose at room temperature for 2 h with gentle agitation to allow the binding of S-tagged Dkk2C2 to S-protein-agarose, followed by washing four times to remove the unbound Dkk2C2 by centrifugation. Then, the S-tagged Dkk2C2-charged agarose was incubated with the LRP5-PD1-HA conditioned medium in indicated concentrations at 4° C. for 4 h with gentle agitation. After the agarose was washed three times with buffer, it underwent SDS-PAGE and then Western blotting analysis. Western blotting analysis was performed following a standard protocol by using mouse monoclonal IgG3 against an HA tag (from Millipore) as the primary antibody and goat anti-mouse horseradish peroxidase-conjugated IgG (from Cell Signaling Technology) as the secondary antibody. Finally, the membrane was incubated in SuperSignal West Femto maximum sensitivity substrate (Pierce) at room temperature for 5 min., and the results were developed on the film (Eastman Kodak Co.).

In vitro pulldown experiments showed that Dkk2C2 directly bound to the first propeller domain of LRP5 (LRP5-PD1), further confirming that the protein we produced is well folded and functional (FIG. 1C).

Example 3 Structural Determination of the Solution Structure of Dkk2C2

The method used to determine the solution structure of Dkk2C2 is similar to those described previously [11, 13]. Briefly, the ¹³C/¹⁵N double-labeled protein was produced in an E. coli system, and the N-terminal S tag was removed by thrombin. Typical NMR samples consisted of 1 mM ¹⁵N/¹³C-Dkk2C2 in 5 mM D4-acetic acid (pH 5.0) buffer with 10% (v/v) D₂O. All NMR experiments were performed with Bruker 600- and 800-MHz NMR spectrometers at 25° C. NMR spectra were processed and displayed by the NMRPipe [14] software package. The program XEASY [15] was used for data analysis and structure assignment. Backbone assignment was based mainly on HNCA, HN(CO)CA, HNCACB, and CBCA(CO)NH experiments. Side chain proton resonance was assigned by using ¹⁵N HSQC-TOCSY and HCCH-TOCSY. Aromatic side chain proton resonance was assigned with CB(CGCD)HD and CB(CGC-DCE)HE experiments. NOE distance constraints were obtained from NOE peaks in two-dimensional ¹H-¹H NOE spectroscopy, three-dimensional ¹⁵N HSQC-NOE spectroscopy, and three-dimensional ¹³C HSQC-NOE spectroscopy experiments.

Intensities of NOE peaks were calibrated and converted to distance constraints by the program CALIBA [16] CYANA2.1 [17] software was used for structure calculations, which were based on 1,879 proton-proton distance constraints and 112 dihedral angle restraints. Through the space proximity, the five disulfide bridges within the structure could be clearly identified in the earlier structural calculations. Based on such information, 30 disulfide distance constraints (three upper limits and three lower limits for each disulfide bridge) were added in the final structural calculation. The superimposition of backbone atoms of 20 conformers with smallest target function values among 200 calculated structures yielded a root mean square deviation of 0.36±0.11 Å relative to the average structure, and the average target function value of ensemble structures was 1.57±0.15 Å² with no distance violations >0.2 Å or dihedral angle violations >5°. The statistical characteristics of these 20 best conformers are described in Table 1.

The solution structure of Dkk2C2 can be found in FIG. 2A. The structure was well defined except for one loop region and the N-terminal region (FIG. 2B and Table 1), and the five disulfide bonds were clearly identified. Within the structure of Dkk2C2 are two subdomains sharing very similar topology; each has a central anti-parallel β-sheet region consisting of three β strands (β1-β3 in subdomain 1 and β4-β6 in subdomain 2) and two finger-shaped loops linking the three P strands (FIG. 2C). The second subdomain has longer and flexible “finger loops” and is thus much larger than the first one. The flexibilities of the two finger loops in the second subdomain are clear in the relaxation data. The steady-state heteronuclear ¹⁵N[¹H]NOE values versus the residue number of Dkk2C2 are shown in FIG. 3. Because the lengths of the N—H bonds are fixed, the ¹⁵N[¹H]NOE values report information about the dynamics of N—H bonds and are used to determine the motion of a particular residue [21]. Typically, the value for the heteronuclear ¹⁵N[¹H]NOE of folded residues is ˜1-0.7, and the NOE for a flexible loop is <0.5. The dynamic study showed that the first finger loop in the second subdomain (loop β4-β5) is most flexible. The study also showed that the folded Dkk2C2 should start at Gly¹⁷⁷.

Within each subdomain are two disulfide bonds to stabilize the β-core region; one connects the first and second β-sheets (Cys¹⁸³-Cys¹⁹⁵ connecting β1 and β2 in the subdomain 1 and Cys²¹⁴-Cys²³⁹ connecting β4 and β5 in subdomain 2), and another (Cys¹⁸⁹-Cys²⁰⁴ and Cys²³³-Cys²⁵⁶) connects the third β sheet (β3 and β6, respectively) to the first finger loop (loop β1-β2 and loop β4-β5, respectively). The fifth disulfide bond (Cys¹⁹⁴-Cys²³¹) links the two subdomains together. The five dihedral angles in each of five disulfide bonds in the solution structure of Dkk2C2 are well within the range of the established stereochemical preferences of a single disulfide bridge [22]. Among the five disulfide bonds in the Dkk2C2 structure, only the first one (Cys¹⁸³-Cys¹⁹⁵) has the right-handed conformation; the rest of the four disulfide bonds are all in the left-handed conformation [23].

The atomic coordinates and structure factors for Dkk2C2 have been deposited in the Protein Data Bank (PDB), Research Collaboratory for Structural Bioinformatics, Rutgers University, New Brunswick, N.J. (http://www.rcsb.org/) as PDB identification number 2JTK.

Analysis with DALI [24] software showed that the Dkk2C2 structure shares some features with those of colipase (Protein Data Bank code 1 PCN) [25] and MIT1 (mamba intestinal toxin 1) (Protein Data Bank code 1IMT) [26], which belong to a family of proteins lacking extensive secondary structures and stabilized by abundant disulfide bridges [27]. All three can be described as an assembly of protruding fingers, held together at one end by a network of five disulfide bridges. However, only the two central β-core regions of Dkk2C2, colipase, and MIT1 are similar, and the connectivity patterns of disulfide bridges among the three proteins share a highly conserved feature [23]. Indeed, the sequence identity shared by Dkk2C2 with the two proteins (24% with colipase and 29% with MIT1) is concentrated in the two central β-core regions, all of the finger-loop regions of Dkk2C2 are unique, and each has a different length and conformation.

TABLE 1 Statistical characteristics of the 20 conformers of the solution structure of Dkk2C2 Parameter No. of NOE distance restraints Intraresidue 448 Interresidue Sequential 561 Medium range 243 Long range 627 Total 1879 No. of disulfides restraints 30 No. of Talos dihedral angle restraints Φ 56 Ψ 56 R.M.S. deviations from the mean (Å)^(a) Overall structure,^(b) backbone 0.36 ± 0.11 Gly¹⁷⁷-Gln²¹⁷ and Glu²²⁶-Ile²⁵⁹, backbone 0.18 ± 0.04 Overall structure,^(b) heavy atoms 0.82 ± 0.10 Gly¹⁷⁷-Gln²¹⁷ and Glu²²⁶-Ile²⁵⁹, heavy atoms 0.68 ± 0.10 Residues^(b) in Ramachandran plot (%)^(c) Most favorable regions 84.7 Additionally allowed regions 13.4 Generously allowed regions 1.9 Disallowed regions 0.0 ^(a)The average root mean square deviation (r.m.s.d.) between the 20 structures with the lowest target functions and the mean coordinates of the protein. ^(b)Residues Gly¹⁷⁷-Ile²⁵⁹. ^(c)Excluding glycines and prolines and calculated using the Ramachandran macro in CYANA software.

Example 4 Mutagenesis Studies

To determine the effect of representative point mutants of Dkk 1 on the inhibition of Wnt activity [10], NIH3T3 cells were transfected with LEF-1 luciferase reporter plasmids and 1 day later were treated with Wnt3a conditioned medium and Dkk1 or Dkk1 mutants conditioned medium prepared from HEK cells for 6 h. Then luciferase activity was measured as described above. To measure the binding of Dkk1 and its mutants to LRP6, HEK cells were transfected with LRP6 plasmids and 1 day later were incubated on ice with wild-type or mutant Dkk1-alkaline phosphatase (AP) fusion protein conditioned medium for 2 h [10]. Then the cells were washed and lysed, and AP activity in cell lysate was measured by using a Tropix luminescence AP assay kit as described previously [10].

The C-terminal cysteine-rich domains of Dkk1/2 interact with LRP5/6 [5, 10], whose extracellular region contains four well defined YWTD (SEQ ID NO: 19) repeat domains that have a typical symmetrical six-bladed β-propeller fold [28, 29]. Although each of the first three β-propeller domains can interact with Dkk1/2, only the third is required for Dkk1/2-mediated inhibition of Wnt signaling, presumably because it binds favorably to Dkk1/2 [10]. Furthermore, the residues involved in Dkk-mediated Wnt inhibition in the third β-propeller domain of LRP5 (LRP5-PD3) were found by alanine substitution mapping [10] to be clustered on a concave, amphitheatre-shaped surface centered on the pseudo-6-fold axis atop the β-propeller [10]. This amphitheatre-shaped ligand binding site is likely to be the common feature among these β-propeller domains (FIG. 6) [30, 31]. Because of the network of hydrogen bonds within the β-propeller domains and the nature of the concave surface, the ligand binding sites of the β-propeller domains are rigid [30]. Typical ligands of these the β-propeller domains are rigid as well [30, 31]. The rigidity of the ligands and receptors minimizes loss of entropy upon binding and promotes a high affinity [30]. The rigidity also makes it possible to model the complex by docking ligands to β-propeller domains. For example, at CAPRI, different groups successfully docked laminin to the β-propeller of nidogen successfully [32, 33]. We therefore conducted a docking study to examine the interaction between Dkk2C2 and LRP5-PD3. To maximize the accuracy of this study, we used the program HADDOCK [20] to incorporate data from mutagenesis studies of the binding of Dkk1/2 to LRP5/6.

The mutation E721A on the amphitheatre surface of LRP5-PD3 that binds to Dkk had the strongest effect on Dkk1-mediated inhibition of Wnt1 activity (˜70% reduction) and abolished binding of LRP5-PD3 to Dkk1 [10]. Because the corresponding residue in nidogen, Glu⁹⁹⁴, forms a salt bridge with a lysine residue in bound laminin [30], we speculated that Glu⁷²¹ of LRP5 would form a salt bridge with a basic residue in the bound Dkk1/2. In mutagenesis studies, we substituted each positively charged amino acid in the C-terminal cysteine-rich domain of Dkk1 (including lysine, arginine, and histidine) with glutamic acid and investigated the effect on Dkk1-LRP6 binding. Among the four Dkk1 mutants, H210E, K217E, and R242E reduced the binding of Dkk1 to LRP6 by more than 50%, and H267E reduced the binding of Dkk1 to LRP6 by about 43% (FIG. 4A). We also examined the effects of these four mutants on Dkk1-mediated inhibition of Wnt3a activity and found that, indeed, these mutants attenuated Dkk1-mediated antagonism of Wnt signaling (FIG. 4B).

Example 5 Elucidation of the Complex of LRP5 Bound with Dkk

The software package ICM (Molsoft) was used to build the structures of the first three β-propeller domains of LRP5 (termed as LRP5-PD1, PRP5-PD2, and LRP5-PD3) using the crystal structure of the low density lipoprotein receptor YWTD (SEQ ID NO: 19) β-propeller domain (Protein Data Bank code 1IJQ [PDB] [18]) as the template. The initial homology model structures were refined and evaluated by using software package AMBER8 [19]. In this step, a 5-ns molecular dynamic simulation with 2 femtoseconds/step was performed by placing the individual propeller domain in a TIP3P water box.

The docking studies used the HADDOCK [20] program. First, the homology model of the third β-propeller domain of LRP5 (LRP5-PD3) and the solution structure of Dkk2C2 were used as starting structures. Mutation of the Tyr⁷¹⁹, Glu⁷²¹, Arg⁷⁶⁴, Trp⁷⁸⁰, Asp⁸⁸⁷, and Phe⁸⁸⁸ residues of LRP5-PD3 had an effect of >10% on Dkk-mediated inhibition of Wnt activity. These residues were defined as active residues, and the neighboring surface residues (Arg⁶⁵², Ala⁶⁵³, Val⁶⁹⁴, Lys⁶⁹⁷, Asp⁷¹⁸, Gln⁷³⁷, Gly⁷³⁸, Asn⁷⁶², Gly⁷⁸¹, Pro⁷⁸⁴, Arg⁸⁰⁵, Trp⁸⁶³, His⁸⁶⁶, and Met⁸⁹⁰) were defined as passive residues. In Dkk2C2, mutation of His¹⁹⁸ (His²¹⁰ in Dkk1), Lys²⁰⁵ (Lys²¹⁷), Arg²³⁰ (Arg²⁴²), and His²⁵⁴ (His²⁶⁷) strongly disrupted both Dkk-mediated Wnt inhibition and LRP6 binding; these residues were defined as active residues. Passive residues were neighboring surface residues Glu¹⁷⁹, Phe¹⁹⁹, Trp²⁰¹, Thr²⁰¹, Leu²⁰³, Pro²⁰⁶, Glu²¹², Val²¹³, Lys²¹⁶, Gln²¹⁷, Glu²²⁶, Ile²²⁷, Gln²²⁹, Val²⁴¹, Thr²⁴⁶, Ser²⁴⁹, Arg²⁵², and Leu²⁵³ The flexible interface was defined as active and passive residues ±2 sequential residues for the purpose of docking. Ambiguous interaction restraints used in the docking process were defined as an ambiguous distance between all active and passive residues shown to be involved at the interaction interface.

The docking calculation was initiated with two proteins separated by 150 Å with random starting orientations. Three stages of docking solutions (rigid-body docking, semi-flexible simulated annealing, and a final refinement in water) were executed sequentially by energy minimization. Complex structures were sorted according to the intermolecular interaction energy (the sum of intermolecular van der Waals and electrostatic energies and restraint energies). In the last water refinement stage, the 100 docking structures with the lowest intermolecular interaction energies were generated and clustered on the basis of a 1.0-Å backbone root mean square deviation tolerance at the binding interface. The final docking complex structure was the structure that had the lowest intermolecular interaction energy within the cluster with the lowest average intermolecular interaction energy.

On the basis of the mutagenesis studies, we first used the HADDOCK software package to build the complex structure of Dkk2C2 bound to LRP5-PD3. As mutation of the Tyr⁷¹⁹, Glu⁷²¹, Arg⁷⁶¹, Trp⁷⁸⁰, Asp⁸⁸⁷, and Phe⁸⁸⁸ residues of LRP5-PD3 had an effect of >10% on Dkk-mediated inhibition of Wnt activity [10], we proposed that these residues are involved in the interaction between Dkk2C2 and LRP5-PD3. We thus defined these residues as active residues, and 14 neighboring residues (Arg⁶⁵², Ala⁶⁵³, Val⁶⁹⁴, Lys⁶⁹⁷, Asp⁷¹⁸, Gln⁷³⁷, Gly⁷³⁸, Asn⁷⁶², Gly⁷⁸¹, Pro⁷⁸⁴, Arg⁸⁰⁵, Trp⁸⁶³, His⁸⁶⁶, and Met⁸⁹⁰) as passive residues. Similarly, in Dkk2C2, as mutation of His¹⁹⁸ (His²¹⁰ in Dkk1), Lys²⁰⁵ (Lys²¹⁷ in Dkk1), Arg²³⁰ (Arg²⁴² in Dkk1), and His²⁵⁴ (His²⁶⁷ in Dkk1) strongly disrupted both Dkk-mediated inhibition and LRP6 binding, we defined these residues and 14 of their neighbor residues as active and passive residues, respectively. In the docking process, the flexible interfaces of both Dkk2C2 and LRP5-PD3 were defined as active and passive residues ±2 sequential residues and the ambiguous interaction restraints as the distances between all active and passive residues. The docking calculation was initiated with the two proteins separated by 150 Å with random starting orientations. Three stages of docking solutions (rigid-body docking, initial refinement with semi-flexible simulated annealing, and a final refinement in water) were executed sequentially by energy minimization. During the first-stage rigid-body docking, a total of 1,000 docking structures were generated, and the top 100 docking structures with the lowest intermolecular interaction energies were selected in the second and third refinement stages. After the docking, a cluster analysis was also carried out to further evaluate the final 100 structures. To our surprise, the 100 final docking structures could be clustered on the basis of a 1.0-Å backbone root mean square deviation tolerance at the binding interface between Dkk2C2 and LRP5-PD3, indicating that complex structure generated by our docking studies has very high accuracy [34].

In the complex of Dkk2C2 bound to LRP5-PD3 generated by the HADDOCK studies, the side chains of those residues at the interface form an extensive network of contacts between the two molecules, and those contacts are consistent with the mutagenesis studies reported in this study as well as in the earlier studies [10]. In particular, the second finger loop (loop β2-β3) of Dkk2C2 in the first subdomain lies atop LRP5-PD3 and the three aromatic residues, His¹⁹⁸ Phe¹⁹⁹, and Trp²⁰⁰, form a “roof” that covers the amphitheatre of LRP5-PD3 (FIG. 5A). At this interface, the side chain of His¹⁹⁸ in Dkk2C2 (His²¹⁰ in Dkk1) forms a hydrogen bond with the side chain of Glu⁷²¹ in LRP5-PD3, and Trp²⁰⁰ in Dkk2C2 (W²¹² in Dkk1) also interacts with Glu¹²¹ of LRP5-PD3 (FIG. 5B). Furthermore, there are many hydrophobic interactions between the roof and the surface of the “amphitheatre” that also significantly contribute to the binding between the two molecules; among them, the benzoic ring contacts between Phe¹⁹⁹ and Trp²⁰⁰ in Dkk2C2 and Tyr⁷¹⁹ and Trp⁷⁸⁰ in LRP5-PD3 are most visible. Another interaction hot spot between Dkk2C2 and LRP5-PD3 involves the second subdomain of Dkk2C2. In this binding site, the side chain of Arg²³⁰ (Arg²⁴² in Dkk1) in Dkk2C2 forms hydrogen bonds with the side chain of Asp⁸⁸⁷ in LRP5-PD3. In addition, the side chain Leu²⁵³ (Leu²⁶⁶ in Dkk1) in Dkk2C2 and Phe⁸⁸⁸ in LRP5-PD3 form a hydrophobic network. Indeed, mutation of this hydrophobic residue in Dkk1, L266A, efficiently disrupted inhibition of Dkk1-mediated Wnt3a activity (about 30%; data not shown) and the binding of Dkk1 to LRP6 (about 40%; data not shown). Interestingly, although the second subdomain of Dkk2C2 has two mobile finger loops, in the complex, the residues that are involved in the interaction with LRP5-PD3 are all in a relatively rigid conformation (FIG. 3).

Two other residues, Lys²⁰⁵ (Lys²¹⁷ in Dkk1) and His²⁵⁴ (His²⁶⁷ in Dkk1) in Dkk2C2, also play a role in Dkk1-LRP6 binding and Dkk1-mediated inhibition of Wnt3a activity (FIG. 4). In the complex structure of Dkk2C2 bound to LRP5-PD3, Lys²⁰⁵ locates at the boundary of the two binding hot spots, forming a hydrogen bond with Asp⁸⁸⁷ of LRP5-PD3 (FIG. 5B). Interestingly, mutant K217E of Dkk1 significantly disrupted the binding of Dkk 1 to both LRP6 and another Dkk receptor Kremen protein (as described in [41]); this residue may play a role in coordinating the interactions between Dkk and its two binding partners, LRP5/6 and Kremen. On the other hand, in the structure of Dkk2C2, His²⁵⁴ (His²⁶⁷ in Dkk1) is buried inside the folded structure of Dkk2C2 (FIG. 5B). Therefore, the mutation H267E in Dkk1 would likely affect the overall stability of Dkk structure.

The first and second β-propeller domains of LRP5/6 also interact with Dkk1/2 but do not play an essential role in Dkk1-mediated inhibition of Wnt activity [10]. Because of the structural similarity of the YWTD (SEQ ID NO: 19) β-propeller domains, it is likely that Dkk molecules can fit into the ligand binding sites of all β-propeller domains of LRP5/6 but can fit perfectly into only that of the third β-propeller domain. Furthermore, in the complex of LRP5-PD3 bound to Dkk2C2, the residues of LRP5-PD3 at the interface are relatively conserved in the first three propeller domains of LRP5/6 (FIG. 5B). To further elucidate why the interactions of Dkk2C2 with different β-propeller domains of LRP5 lead to different effects on regulating Wnt signaling, we built the complexes of Dkk2C2 bound with LRP5-PD1 and Dkk2C2 with LRP5-PD2 by using the complex model of Dkk2C2 bound with LRP5-PD3 as the template. LRP5-PD3 in the complex template was first replaced with LRP5-PD1 and LRP5-PD2, respectively, by superimposition of the propeller domains; then the new complexes of Dkk2C2 bound with LRP5-PD1 and LRP5-PD2 were refined by the water refinement algorithm in the HADDOCK program. As expected, the Dkk2C2 fits well to the ligand binding sites of LRP5-PD1 and LRR5-PD2. Comparing the three complexes in detail, we observed that although Dkk2C2 has similar interactions with the first two β-propeller domains as it does with the third one, not all of the intermolecular interactions found in the complex of Dkk2C2 bound to the third β-propeller domain are preserved in the complexes of Dkk2C2 bound to the first two propeller domains. The most pronounced one is the amino acid Glu 72 in LRP5-PD3, which plays an important role in the interaction; this amino acid is replaced by aspartic acid in the first two propeller domains of LRP5/6 (FIG. 6). Because of the rigidity of both the ligand and receptor, the aspartic acids in the first two β-propeller domains of LRP5 are unable to interact with the bound Dkk2C2 (data not shown). Indeed, the calculated intermolecular interaction energies (mainly intermolecular van der Waals and electrostatic energies and restraint energies) between Dkk2C2 and the first two propellers were about 30% weaker than that between Dkk2C2 and LRP5-PD3 (−402.263 kcal/mol and −374.747 kcal/mol versus −558.5 kcal/mol), suggesting that Dkk2C2 binds to the first two β-propeller domains of LRP5 with lower affinities. Therefore, binding affinity is likely to be the factor that determines the selection of Dkk binding partners in the Wnt signaling pathway.

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1. A compound that disrupts the interaction of a Dickkopf (Dkk) polypeptide with an LDL receptor-related protein (LRP) polypeptide.
 2. The compound of claim 1, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 3. The compound of claim 2, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 4. The compound of claim 2, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 5. The compound of claim 2, wherein said Dkk2 polypeptide is a cysteine-rich domain of a Dkk2 protein (Dkk2C).
 6. The compound of claim 5, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 7. The compound of claim 1, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 8. The compound of claim 7, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 9. The compound of claim 7, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 10. The compound of claim 7, wherein said Dkk1 polypeptide is a cysteine-rich domain of a Dkk1 protein (Dkk1C).
 11. The compound of claim 10, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 12. The compound of claim 1, wherein said LRP polypeptide is an LRP5 polypeptide.
 13. The compound of claim 12, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 14. The compound of claim 12, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 15. The compound of claim 12, wherein said LRP5 polypeptide is a β-propeller domain of a LRP5 polypeptide (LRP5-PD).
 16. The compound of claim 15, wherein said LRP5-PD is an LRP5-PD3.
 17. The compound of claim 1, wherein said LRP polypeptide is an LRP6 polypeptide.
 18. The compound of claim 17, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 19. The compound of claim 17, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 20. The compound of claim 17, wherein said LRP6 polypeptide is a β-propeller domain of a LRP6 polypeptide (LRP6-PD).
 21. The compound of claim 20, wherein said LRP6-PD is an LRP6-PD3.
 22. The compound of claim 1, wherein said compound is a polypeptide.
 23. The compound of claim 22, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:1.
 24. The compound of claim 23, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO: 1 are conserved.
 25. The compound of claim 23, wherein said compound comprises SEQ ID NO:
 1. 26. The compound of claim 22, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 27. The compound of claim 26, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 28. The compound of claim 22, wherein said compound comprises SEQ ID NO:2.
 29. The compound of claim 22, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 30. The compound of claim 29, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 31. The compound of claim 29, wherein said compound comprises SEQ ID NO:3.
 32. The compound of claim 22, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 33. The compound of claim 32, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 34. The compound of claim 32, wherein said compound comprises SEQ ID NO:4.
 35. The compound of claim 1, wherein said compound is a small molecule.
 36. The compound of claim 1, wherein said compound is a Wnt agonist.
 37. The compound of claim 1, wherein said compound is a Wnt antagonist.
 38. A compound that disrupts binding of SEQ ID NO: 1 to SEQ ID NO:3.
 39. A compound that disrupts binding of SEQ ID NO: 1 to SEQ ID NO:4.
 40. A compound that disrupts binding of SEQ ID NO:2 to SEQ ID NO:3.
 41. A compound that disrupts binding of SEQ ID NO:2 to SEQ ID NO:4.
 42. A compound that forms: a. a hydrogen bond with E721, Y719, or D887 of the third propeller domain of human LRP5; b. a hydrophobic interaction with W780 or F888 of the third propeller domain of human LRP5; c. a hydrogen bond with Y706, E708 or D874 of the third propeller domain of human LRP6; or d. a hydrophobic interaction with W767, or F875 of the third propeller domain of human LRP6.
 43. The compound of claim 42, wherein said hydrogen bond is with amino acid 77, 79, or 245 of SEQ ID NO:3 or SEQ ID NO:4, and wherein said hydrophobic interaction is with amino acid 138 or 246 of SEQ ID NO:3 or SEQ ID NO:4.
 44. The compound of claim 42, wherein said compound forms hydrogen bonds with Y719, E721, and D887 of the third propeller domain of human LRP5.
 45. The compound of claim 42, wherein said compound forms hydrophobic interactions with W780 and F888 of the third propeller domain of human LRP5.
 46. The compound of claim 42, wherein said compound forms hydrogen bonds with Y719, E721, and D887, and hydrophobic interactions with W780 and F888 of the third propeller domain of human LRP5.
 47. The compound of claim 42, wherein said compound forms hydrogen bonds with Y706, E708, and D874 of the third propeller domain of human LRP6.
 48. The compound of claim 42, wherein said compound forms hydrophobic interactions with W767 and F875 of the third propeller domain of human LRP6.
 49. The compound of claim 42, wherein said compound forms hydrogen bonds with Y706, E708, and D874, and hydrophobic interactions with W767 and F875 of the third propeller domain of human LRP6.
 50. The compound of claim 42, wherein said compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 51. The compound of claim 50, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 52. The compound of claim 51, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 53. The compound of claim 51, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 54. The compound of claim 51, wherein said Dkk2 polypeptide is a Dkk2C polypeptide.
 55. The compound of claim 54, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 56. The compound of claim 50, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 57. The compound of claim 56, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 58. The compound of claim 56, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 59. The compound of claim 56, wherein said Dkk1 polypeptide is a Dkk1C polypeptide.
 60. The compound of claim 59, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 61. The compound of claim 50, wherein said LRP polypeptide is an LRP5 polypeptide.
 62. The compound of claim 61, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 63. The compound of claim 61, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 64. The compound of claim 61, wherein said LRP5 polypeptide is an LRP5-PD.
 65. The compound of claim 64, wherein said LRP5-PD is an LRP5-PD3.
 66. The compound of claim 50, wherein said LRP polypeptide is an LRP6 polypeptide.
 67. The compound of claim 66, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 68. The compound of claim 66, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 69. The compound of claim 66, wherein said LRP6 polypeptide is an LRP6-PD.
 70. The compound of claim 69, wherein said LRP6-PD is an LRP6-PD3.
 71. The compound of claim 42, wherein said compound is a polypeptide.
 72. The compound of claim 71, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:1.
 73. The compound of claim 72, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO:1 are conserved.
 74. The compound of claim 72, wherein said compound comprises SEQ ID NO:
 1. 75. The compound of claim 71, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 76. The compound of claim 75, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 77. The compound of claim 75, wherein said compound comprises SEQ ID NO:2.
 78. The compound of claim 42, wherein said compound is a Wnt agonist.
 79. The compound of claim 42, wherein said compound is a Wnt antagonist.
 80. A compound that forms: a. a hydrogen bond with H198, R230, or K205 of mouse Dkk2; b. a hydrophobic interaction with W200, F199, L253, or I227 of mouse Dkk2; c. a hydrogen bond with H210, R242, or K217 of mouse Dkk1; or d. a hydrophobic interaction with W212, F211, L266, or I239 of mouse Dkk1.
 81. The compound of claim 80, wherein said hydrogen bond is with amino acid 27, 59, or 34 of SEQ ID NO: 1, and wherein said hydrophobic interaction is with amino acid 28, 29, 82, or 56 of SEQ ID NO:1.
 82. The compound of claim 80, wherein said hydrogen bond is with amino acid 27, 59, or 34 of SEQ ID NO:2, and wherein said hydrophobic interaction is with amino acid 28, 29, 83, or 56 of SEQ ID NO:2.
 83. The compound of claim 80, wherein said compound forms hydrogen bonds with H198, R230, and K205 of mouse Dkk2.
 84. The compound of claim 80, wherein said compound forms hydrophobic interactions with W200, F199, L253, and I227 of mouse Dkk2.
 85. The compound of claim 80, wherein said compound forms hydrogen bonds with H198, R230, and K205, and hydrophobic interactions with W200, F199, L253, and I227 of mouse Dkk2.
 86. The compound of claim 80, wherein said compound forms hydrogen bonds with H210, R242, and K217 of mouse Dkk1.
 87. The compound of claim 80, wherein said compound forms hydrophobic interactions with W212, F211, L266, and I239 of mouse Dkk1.
 88. The compound of claim 80, wherein said compound forms hydrogen bonds with H210, R242, and K217, and hydrophobic interactions with W212, F211, L266, and I239 of mouse Dkk1.
 89. The compound of claim 80, wherein said compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 90. The compound of claim 89, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 91. The compound of claim 90, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 92. The compound of claim 90, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 93. The compound of claim 90, wherein said Dkk2 polypeptide is a Dkk2C polypeptide.
 94. The compound of claim 93, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 95. The compound of claim 89, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 96. The compound of claim 95, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 97. The compound of claim 95, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 98. The compound of claim 95, wherein said Dkk1 polypeptide is a Dkk1C polypeptide.
 99. The compound of claim 98, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 100. The compound of claim 89, wherein said LRP polypeptide is an LRP5 polypeptide.
 101. The compound of claim 100, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 102. The compound of claim 100, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 103. The compound of claim 100, wherein said LRP5 polypeptide is an LRP5-PD.
 104. The compound of claim 103, wherein said LRP5-PD is an LRP5-PD3.
 105. The compound of claim 89, wherein said LRP polypeptide is an LRP6 polypeptide.
 106. The compound of claim 105, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 107. The compound of claim 105, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 108. The compound of claim 106, wherein said LRP6 polypeptide is an LRP6-PD.
 109. The compound of claim 108, wherein said LRP6-PD is an LRP6-PD3.
 110. The compound of claim 80, wherein said compound is a polypeptide.
 111. The compound of claim 110, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 112. The compound of claim 111, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 113. The compound of claim 111, wherein said compound comprises SEQ ID NO:3.
 114. The compound of claim 110, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 115. The compound of claim 114, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 116. The compound of claim 114, wherein said compound comprises SEQ ID NO:4.
 117. The compound of claim 80, wherein said compound is a Wnt agonist.
 118. The compound of claim 80, wherein said compound is a Wnt antagonist.
 119. A composition that modulates Dkk activity in a cell, said composition comprising a compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 120. The composition of claim 119, wherein said Dkk activity is increased.
 121. The composition of claim 119, wherein said Dkk activity is decreased.
 122. The composition of claim 119, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 123. The composition of claim 122, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 124. The composition of claim 122, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 125. The composition of claim 122, wherein said Dkk2 polypeptide is a Dkk2C.
 126. The composition of claim 125, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 127. The composition of claim 119, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 128. The composition of claim 127, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 129. The composition of claim 127, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 130. The composition of claim 127, wherein said Dkk1 polypeptide is a Dkk1C.
 131. The composition of claim 130, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 132. The composition of claim 119, wherein said LRP polypeptide is an LRP5 polypeptide.
 133. The composition of claim 132, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 134. The composition of claim 132, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 135. The composition of claim 132, wherein said LRP5 polypeptide is an LRP5-PD.
 136. The composition of claim 135, wherein said LRP5-PD is an LRP5-PD3.
 137. The composition of claim 119, wherein said LRP6 polypeptide is an LRP6 polypeptide.
 138. The composition of claim 137, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 139. The composition of claim 137, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 140. The composition of claim 137, wherein said LRP5 polypeptide is an LRP6-PD.
 141. The composition of claim 140, wherein said LRP6-PD is an LRP6-PD3.
 142. The composition of claim 119, wherein said compound is a polypeptide.
 143. The composition of claim 142, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 144. The composition of claim 143, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO: 1 are conserved.
 145. The composition of claim 143, wherein said compound comprises SEQ ID NO:
 1. 146. The composition of claim 142, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 147. The composition of claim 146, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 148. The composition of claim 146, wherein said compound comprises SEQ ID NO:2.
 149. The composition of claim 142, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 150. The composition of claim 149, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 151. The composition of claim 149, wherein said compound comprises SEQ ID NO:3.
 152. The composition of claim 142, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 153. The composition of claim 152, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 154. The composition of claim 152, wherein said compound comprises SEQ ID NO:4.
 155. The composition of claim 119, wherein said compound is a small molecule.
 156. A composition that modulates Wnt activity in a cell, said composition comprising a compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 157. The composition of claim 156, wherein said Wnt activity is increased.
 158. The composition of claim 156, wherein said Wnt activity is decreased.
 159. The composition of claim 156, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 160. The composition of claim 156, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 161. The composition of claim 159, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 162. The composition of claim 159, wherein said Dkk2 polypeptide is a Dkk2C.
 163. The composition of claim 162, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 164. The composition of claim 156, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 165. The composition of claim 164, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 166. The composition of claim 164, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 167. The composition of claim 164, wherein said Dkk1 polypeptide is a Dkk1C.
 168. The composition of claim 167, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 169. The composition of claim 156, wherein said LRP polypeptide is an LRP5 polypeptide.
 170. The composition of claim 169, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 171. The composition of claim 169, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 172. The composition of claim 169, wherein said LRP5 polypeptide is an LRP5-PD.
 173. The composition of claim 173, wherein said LRP5-PD is an LRP5-PD3.
 174. The composition of claim 156, wherein said LRP polypeptide is an LRP6 polypeptide.
 175. The composition of claim 175, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 176. The composition of claim 175, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 177. The composition of claim 175, wherein said LRP6 polypeptide is an LRP6-PD.
 178. The composition of claim 177, wherein said LRP6-PD is an LRP6-PD3.
 179. The composition of claim 156, wherein said compound is a polypeptide.
 180. The composition of claim 179, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 181. The composition of claim 180, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO: 1 are conserved.
 182. The composition of claim 180, wherein said compound comprises SEQ ID NO:
 1. 183. The composition of claim 179, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 184. The composition of claim 183, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 185. The composition of claim 183, wherein said compound comprises SEQ ID NO:2.
 186. The composition of claim 179, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 187. The composition of claim 186, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 188. The composition of claim 186, wherein said compound comprises SEQ ID NO:3.
 189. The composition of claim 179, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 190. The composition of claim 189, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 191. The composition of claim 189, wherein said compound comprises SEQ ID NO:4.
 192. The composition of claim 156, wherein said compound is a small molecule.
 193. A method for modulating Dkk activity in a cell, said method comprising administering to said cell a compound that disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 194. The method of claim 193, wherein said Dkk activity is increased.
 195. The method of claim 193, wherein said Dkk activity is decreased.
 196. The method of claim 193, wherein said cell is a mammalian cell.
 197. The method of claim 193, wherein said cell is a human cell.
 198. The method of claim 193, wherein said cell is an osteoblast.
 199. The method of claim 193, wherein said cell is a cancer cell.
 200. The method of claim 193, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 201. The method of claim 200, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 202. The method of claim 200, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 203. The method of claim 200, wherein said Dkk2 polypeptide is a Dkk2C.
 204. The method of claim 203, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 205. The method of claim 193, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 206. The method of claim 205, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 207. The method of claim 205, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 208. The method of claim 205, wherein said Dkk1 polypeptide is a Dkk1C.
 209. The method of claim 208, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 210. The method of claim 193, wherein said LRP polypeptide is an LRP5 polypeptide.
 211. The method of claim 210, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 212. The method of claim 210, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 213. The method of claim 210, wherein said LRP5 polypeptide is an LRP5-PD.
 214. The method of claim 213, wherein said LRP5-PD is an LRP5-PD3.
 215. The method of claim 193, wherein said LRP polypeptide is an LRP6 polypeptide.
 216. The method of claim 215, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 217. The method of claim 215, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 218. The method of claim 215, wherein said LRP6 polypeptide is an LRP6-PD.
 219. The method of claim 218, wherein said LRP6-PD is an LRP6-PD3.
 220. The method of claim 193, wherein said compound is a polypeptide.
 221. The method of claim 220, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 222. The method of claim 221, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO: 1 are conserved.
 223. The method of claim 221, wherein said compound comprises SEQ ID NO:
 1. 224. The method of claim 220, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 225. The method of claim 224, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 226. The method of claim 224, wherein said compound comprises SEQ ID NO:2.
 227. The method of claim 220, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 228. The method of claim 227, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 229. The method of claim 227, wherein said compound comprises SEQ ID NO:3.
 230. The method of claim 220, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 231. The method of claim 230, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 232. The method of claim 230, wherein said compound comprises SEQ ID NO:4.
 233. The method of claim 193, wherein said compound is a small molecule.
 234. A method of modulating Wnt activity in a cell, said method comprising administering to said cell a compound that disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 235. The method of claim 234, wherein said Wnt activity is increased.
 236. The method of claim 234, wherein said Wnt activity is decreased.
 237. The method of claim 234, wherein said cell is a mammalian cell.
 238. The method of claim 234, wherein said cell is a human cell.
 239. The method of claim 234, wherein said cell is an osteoblast.
 240. The method of claim 234, wherein said cell is a cancer cell.
 241. The method of claim 234, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 242. The method of claim 241, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 243. The method of claim 241, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 244. The method of claim 241, wherein said Dkk2 polypeptide is a Dkk2C.
 245. The method of claim 244, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 246. The method of claim 234, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 247. The method of claim 246, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 248. The method of claim 246, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 249. The method of claim 246, wherein said Dkk1 polypeptide is a Dkk1C.
 250. The method of claim 249, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 251. The method of claim 234, wherein said LRP polypeptide is an LRP5 polypeptide.
 252. The method of claim 251, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 253. The method of claim 251, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 254. The method of claim 251, wherein said LRP5 polypeptide is an LRP5-PD.
 255. The method of claim 254, wherein said LRP5-PD is an LRP5-PD3.
 256. The method of claim 234, wherein said LRP polypeptide is an LRP6 polypeptide.
 257. The method of claim 256, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 258. The method of claim 256, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 259. The method of claim 256, wherein said LRP6 polypeptide is an LRP6-PD.
 260. The method of claim 259, wherein said LRP6-PD is an LRP6-PD3.
 261. The method of claim 234, wherein said compound is a polypeptide.
 262. The method of claim 261, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 263. The method of claim 262, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO:1 are conserved.
 264. The method of claim 262, wherein said compound comprises SEQ ID NO:
 1. 265. The method of claim 261, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 266. The method of claim 265, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 267. The method of claim 265, wherein said compound comprises SEQ ID NO:2.
 268. The method of claim 261, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 269. The method of claim 269, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 270. The method of claim 269, wherein said compound comprises SEQ ID NO:3.
 271. The method of claim 261, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 272. The method of claim 271, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 273. The method of claim 271, wherein said compound comprises SEQ ID NO:4.
 274. The method of claim 234, wherein said compound is a small molecule.
 275. A method for modulating Dkk activity in a cell, said method comprising administering to said cell a compound that forms: a. a hydrogen bond with E721, Y719, or D887 of the third propeller domain of human LRP5; b. a hydrophobic interaction with W780 or F888 of the third propeller domain of human LRP5; c. a hydrogen bond with Y706, E708 or D874 of the third propeller domain of human LRP6; or d. a hydrophobic interaction with W767, or F875 of the third propeller domain of human LRP6.
 276. The method of claim 275, wherein said hydrogen bond is with amino acid 77, 79, or 245 of SEQ ID NO:3 or SEQ ID NO:4, and wherein said hydrophobic interaction is with amino acid 138 or 246 of SEQ ID NO:3 or SEQ ID NO:4.
 277. The method of claim 275, wherein said compound forms hydrogen bonds with Y719, E721, and D887 of the third propeller domain of human LRP5.
 278. The method of claim 275, wherein said compound forms hydrophobic interactions with W780 and F888 of the third propeller domain of human LRP5.
 279. The method of claim 275, wherein said compound forms hydrogen bonds with Y719, E721, and D887, and hydrophobic interactions with W780 and F888 of the third propeller domain of human LRP5.
 280. The method of claim 275, wherein said compound forms hydrogen bonds with Y706, E708, and D874 of the third propeller domain of human LRP6.
 281. The method of claim 275, wherein said compound forms hydrophobic interactions with W767 and F875 of the third propeller domain of human LRP6.
 282. The method of claim 275, wherein said compound forms hydrogen bonds with Y706, E708, and D874, and hydrophobic interactions with W767 and F875 of the third propeller domain of human LRP6.
 283. The method of claim 275, wherein said cell is a mammalian cell.
 284. The method of claim 275, wherein said cell is a human cell.
 285. The method of claim 275, wherein said cell is an osteoblast.
 286. The method of claim 275, wherein said cell is a cancer cell.
 287. The method of claim 275, wherein said compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 288. The method of claim 287, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 289. The method of claim 288, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 290. The method of claim 288, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 291. The method of claim 288, wherein said Dkk2 polypeptide is a Dkk2C polypeptide.
 292. The method of claim 291, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 293. The method of claim 287, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 294. The method of claim 293, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 295. The method of claim 293, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 296. The method of claim 293, wherein said Dkk1 polypeptide is a Dkk1C polypeptide.
 297. The method of claim 296, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 298. The method of claim 287, wherein said LRP polypeptide is an LRP5 polypeptide.
 299. The method of claim 298, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 300. The method of claim 298, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 301. The method of claim 298, wherein said LRP5 polypeptide is an LRP5-PD.
 302. The method of claim 301, wherein said LRP5-PD is an LRP5-PD3.
 303. The method of claim 287, wherein said LRP polypeptide is an LRP6 polypeptide.
 304. The method of claim 303, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 305. The method of claim 303, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 306. The method of claim 303, wherein said LRP6 polypeptide is an LRP6-PD.
 307. The method of claim 306, wherein said LRP6-PD is an LRP6-PD3.
 308. The method of claim 275, wherein said compound is a polypeptide.
 309. The method of claim 308, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 310. The method of claim 309, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO: 1 are conserved.
 311. The method of claim 309, wherein said compound comprises SEQ ID NO:
 1. 312. The method of claim 308, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 313. The method of claim 312, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 314. The method of claim 312, wherein said compound comprises SEQ ID NO:2.
 315. The method of claim 275, wherein said compound is a small molecule.
 316. A method for modulating Wnt activity in a cell, said method comprising administering to said cell a compound that forms: a. a hydrogen bond with E721, Y719, or D887 of the third propeller domain of human LRP5; b. a hydrophobic interaction with W780 or F888 of the third propeller domain of human LRP5; c. a hydrogen bond with Y706, E708 or D874 of the third propeller domain of human LRP6; or d. a hydrophobic interaction with W767, or F875 of the third propeller domain of human LRP6.
 317. The method of claim 316, wherein said hydrogen bond is with amino acid 77, 79, or 245 of SEQ ID NO:3 or SEQ ID NO:4, and wherein said hydrophobic interaction is with amino acid 138 or 246 of SEQ ID NO:3 or SEQ ID NO:4.
 318. The method of claim 316, wherein said compound forms hydrogen bonds with Y719, E721, and D887 of the third propeller domain of human LRP5.
 319. The method of claim 316, wherein said compound forms hydrophobic interactions with W780 and F888 of the third propeller domain of human LRP5.
 320. The method of claim 316, wherein said compound forms hydrogen bonds with Y719, E721, and D887, and hydrophobic interactions with W780 and F888 of the third propeller domain of human LRP5.
 321. The method of claim 316, wherein said compound forms hydrogen bonds with Y706, E708, and D874 of the third propeller domain of human LRP6.
 322. The method of claim 316, wherein said compound forms hydrophobic interactions with W767 and F875 of the third propeller domain of human LRP6.
 323. The method of claim 316, wherein said compound forms hydrogen bonds with Y706, E708, and D874, and hydrophobic interactions with W767 and F875 of the third propeller domain of human LRP6.
 324. The method of claim 316, wherein said cell is a mammalian cell.
 325. The method of claim 316, wherein said cell is a human cell.
 326. The method of claim 316, wherein said cell is an osteoblast.
 327. The method of claim 316, wherein said cell is a cancer cell.
 328. The method of claim 316, wherein said compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 329. The method of claim 328, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 330. The method of claim 329, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 331. The method of claim 329, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 332. The method of claim 329, wherein said Dkk2 polypeptide is a Dkk2C polypeptide.
 333. The method of claim 332, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 334. The method of claim 328, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 335. The method of claim 334, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 336. The method of claim 334, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 337. The method of claim 334, wherein said Dkk1 polypeptide is a Dkk1C polypeptide.
 338. The method of claim 337, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 339. The method of claim 328, wherein said LRP polypeptide is an LRP5 polypeptide.
 340. The method of claim 339, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 341. The method of claim 339, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 342. The method of claim 339, wherein said LRP5 polypeptide is an LRP5-PD.
 343. The method of claim 342, wherein said LRP5-PD is an LRP5-PD3.
 344. The method of claim 328, wherein said LRP polypeptide is an LRP6 polypeptide.
 345. The method of claim 344, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 346. The method of claim 344, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 347. The method of claim 344, wherein said LRP6 polypeptide is an LRP6-PD.
 348. The method of claim 347, wherein said LRP6-PD is an LRP6-PD3.
 349. The method of claim 316, wherein said compound is a polypeptide.
 350. The method of claim 349, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 351. The method of claim 350, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO: 1 are conserved.
 352. The method of claim 350, wherein said compound comprises SEQ ID NO:
 1. 353. The method of claim 349, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 354. The method of claim 353, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 355. The method of claim 353, wherein said compound comprises SEQ ID NO:2.
 356. The method of claim 316, wherein said compound is a small molecule.
 357. A method for modulating Dkk activity in a cell, said method comprising administering to said cell a compound that forms: a. a hydrogen bond with H198, R230, or K205 of mouse Dkk2; b. a hydrophobic interaction with W200, F199, L253, or I227 of mouse Dkk2; c. a hydrogen bond with H210, R242, or K217 of mouse Dkk1; or d. a hydrophobic interaction with W212, F211, L266, or I239 of mouse Dkk1.
 358. The method of claim 357, wherein said hydrogen bond is with amino acid 27, 59, or 34 of SEQ ID NO: 1, and wherein said hydrophobic interaction is with amino acid 28, 29, 82, or 56 of SEQ ID NO:
 1. 359. The method of claim 357, wherein said hydrogen bond is with amino acid 27, 59, or 34 of SEQ ID NO:2, and wherein said hydrophobic interaction is with amino acid 28, 29, 83, or 56 of SEQ ID NO:2.
 360. The method of claim 357, wherein said compound forms hydrogen bonds with H198, R230, and K205 of mouse Dkk2.
 361. The method of claim 357, wherein said compound forms hydrophobic interactions with W200, F199, L253, and I227 of mouse Dkk2.
 362. The method of claim 357, wherein said compound forms hydrogen bonds with H198, R230, and K205, and hydrophobic interactions with W200, F199, L253, and I227 of mouse Dkk2.
 363. The method of claim 357, wherein said compound forms hydrogen bonds with H210, R242, and K217 of mouse Dkk1.
 364. The method of claim 357, wherein said compound forms hydrophobic interactions with W212, F211, L266, and I239 of mouse Dkk1.
 365. The method of claim 357, wherein said compound forms hydrogen bonds with H210, R242, and K217, and hydrophobic interactions with W212, F211, L266, and I239 of mouse Dkk1.
 366. The method of claim 357, wherein said cell is a mammalian cell.
 367. The method of claim 357, wherein said cell is a human cell.
 368. The method of claim 357, wherein said cell is an osteoblast.
 369. The method of claim 357, wherein said cell is a cancer cell.
 370. The method of claim 357, wherein said compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 371. The method of claim 370, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 372. The method of claim 371, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 373. The method of claim 371, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 374. The method of claim 371, wherein said Dkk2 polypeptide is a Dkk2C polypeptide.
 375. The method of claim 374, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 376. The method of claim 370, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 377. The method of claim 376, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 378. The method of claim 376, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 379. The method of claim 376, wherein said Dkk1 polypeptide is a Dkk1C polypeptide.
 380. The method of claim 379, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 381. The method of claim 370, wherein said LRP polypeptide is an LRP5 polypeptide.
 382. The method of claim 381, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 383. The method of claim 381, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 384. The method of claim 381, wherein said LRP5 polypeptide is an LRP5-PD.
 385. The method of claim 384, wherein said LRP5-PD is an LRP5-PD3.
 386. The method of claim 370, wherein said LRP polypeptide is an LRP6 polypeptide.
 387. The method of claim 386, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 388. The method of claim 386, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 389. The method of claim 386, wherein said LRP6 polypeptide is an LRP6-PD.
 390. The method of claim 389, wherein said LRP6-PD is an LRP6-PD3.
 391. The method of claim 357, wherein said compound is a polypeptide.
 392. The method of claim 391, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 393. The method of claim 392, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 394. The method of claim 392, wherein said compound comprises SEQ ID NO:3.
 395. The method of claim 391, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 396. The method of claim 395, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 397. The method of claim 395, wherein said compound comprises SEQ ID NO:4.
 398. The method of claim 357, wherein said compound is a small molecule.
 399. A method for modulating Wnt activity in a cell, said method comprising administering to said cell a compound that forms: a. a hydrogen bond with H198, R230, or K205 of mouse Dkk2; b. a hydrophobic interaction with W200, F199, L253, or I227 of mouse Dkk2; c. a hydrogen bond with H210, R242, or K217 of mouse Dkk1; or d. a hydrophobic interaction with W212, F211, L266, or I239 of mouse Dkk1.
 400. The method of claim 399, wherein said hydrogen bond is with amino acid 27, 59, or 34 of SEQ ID NO: 1, and wherein said hydrophobic interaction is with amino acid 28, 29, 82, or 56 of SEQ ID NO:
 1. 401. The method of claim 399, wherein said hydrogen bond is with amino acid 27, 59, or 34 of SEQ ID NO:2, and wherein said hydrophobic interaction is with amino acid 28, 29, 83, or 56 of SEQ ID NO:2.
 402. The method of claim 399, wherein said compound forms hydrogen bonds with H198, R230, and K205 of mouse Dkk2.
 403. The method of claim 399, wherein said compound forms hydrophobic interactions with W200, F199, L253, and I227 of mouse Dkk2.
 404. The method of claim 399, wherein said compound forms hydrogen bonds with H198, R230, and K205, and hydrophobic interactions with W200, F199, L253, and I227 of mouse Dkk2.
 405. The method of claim 399, wherein said compound forms hydrogen bonds with H210, R242, and K217 of mouse Dkk1.
 406. The method of claim 399, wherein said compound forms hydrophobic interactions with W212, F211, L266, and I239 of mouse Dkk1.
 407. The method of claim 399, wherein said compound forms hydrogen bonds with H210, R242, and K217, and hydrophobic interactions with W212, F211, L266, and I239 of mouse Dkk1.
 408. The method of claim 399, wherein said cell is a mammalian cell.
 409. The method of claim 399, wherein said cell is a human cell.
 410. The method of claim 399, wherein said cell is an osteoblast.
 411. The method of claim 399, wherein said cell is a cancer cell.
 412. The method of claim 399, wherein said compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 413. The method of claim 412, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 414. The method of claim 413, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 415. The method of claim 413, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 416. The method of claim 413, wherein said Dkk2 polypeptide is a Dkk2C polypeptide.
 417. The method of claim 416, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 418. The method of claim 412, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 419. The method of claim 418, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 420. The method of claim 418, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 421. The method of claim 418, wherein said Dkk1 polypeptide is a Dkk1C polypeptide.
 422. The method of claim 421, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 423. The method of claim 412, wherein said LRP polypeptide is an LRP5 polypeptide.
 424. The method of claim 423, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 425. The method of claim 423, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 426. The method of claim 423, wherein said LRP5 polypeptide is an LRP5-PD.
 427. The method of claim 426, wherein said LRP5-PD is an LRP5-PD3.
 428. The method of claim 412, wherein said LRP polypeptide is an LRP6 polypeptide.
 429. The method of claim 428, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 430. The method of claim 428, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 431. The method of claim 428, wherein said LRP6 polypeptide is an LRP6-PD.
 432. The method of claim 431, wherein said LRP6-PD is an LRP6-PD3.
 433. The method of claim 399, wherein said compound is a polypeptide.
 434. The method of claim 433, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 435. The method of claim 434, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 436. The method of claim 434, wherein said compound comprises SEQ ID NO:3.
 437. The method of claim 433, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 438. The method of claim 437, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 439. The method of claim 437, wherein said compound comprises SEQ ID NO:4.
 440. The method of claim 399, wherein said compound is a small molecule.
 441. A method for identifying a compound that modulates Dkk activity in a cell, said method comprising: a. providing a molecular model of an LRP β-propeller domain; b. designing a query to conduct a conformational search for compounds that fit a receptor site in said LRP β-propeller domain; c. screening a plurality of compounds to identify compounds that meet the requirements of said query; and d. determining whether said identified compounds modulates Dkk activity in a cell.
 442. The method of claim 441, wherein said LRP β-propeller domain is an LRP5-PD.
 443. The method of claim 442, wherein said LRP5-PD is an LRP5-PD3.
 444. The method of claim 441, wherein said query is designed using SYBYL® software.
 445. The method of claim 441, wherein said screening is done using UNITY® software.
 446. The method of claim 441, wherein said method further includes the step of docking said identified compounds into said receptor site using a computer program, and removing identified compounds that do not dock into said receptor site.
 447. The method of claim 446, wherein said docking is done using FlexX™ software.
 448. The method of claim 446, wherein said docking is done using done using HADDOCK software.
 449. The method of claim 448, wherein said LRP β-propeller domain is an LRP5-PD3.
 450. The method of claim 449, wherein amino acids Y719, E721, R764, W780, D887, and F888 of said LRP5-PD3 are defined as active residues, and R652, A653, V694, K697, D718, Q737, G738, N762, G781, P784, R805, W863, H866, and M890 are defined as passive residues.
 451. The method of claim 441, wherein said method further comprises the step of ranking said identified compounds on the basis of their predicted ability to bind to said receptor site.
 452. The method of claim 451, wherein said ranking step is done using Cscore™ software.
 453. The method of claim 452, wherein said ranking step is done using Fscore™ scores.
 454. The method of claim 441, wherein said method further comprises the step of determining whether said identified compounds bind to said receptor site using NMR spectroscopy.
 455. The method of claim 441, wherein said method further comprises the step of determining the binding affinity of said identified compounds bind to said receptor site using fluorescence spectroscopy.
 456. The method of claim 441, wherein said determining step is done using a transcription assay.
 457. The method of claim 456, wherein said transcription assay is done by measuring LEF-1 activity.
 458. The method of claim 441, wherein said determining step is done by using a Xenopus embryo secondary axis formation model.
 459. A method for identifying a compound that modulates Wnt activity in a cell, said method comprising: a. providing a molecular model of an LRP β-propeller domain; b. designing a query to conduct a conformational search for compounds that fit a receptor site in said LRP β-propeller domain; c. screening a plurality of compounds to identify compounds that meet the requirements of said query; and d. determining whether said identified compounds modulates Wnt activity in a cell.
 460. The method of claim 459, wherein said LRP β-propeller domain is an LRP5-PD.
 461. The method of claim 460, wherein said LRP5-PD is an LRP5-PD3.
 462. The method of claim 459, wherein said query is designed using SYBYL® software.
 463. The method of claim 459, wherein said screening is done using UNITY® software.
 464. The method of claim 459, wherein said method further includes the step of docking said identified compounds into said receptor site using a computer program, and removing identified compounds that do not dock into said receptor site.
 465. The method of claim 464, wherein said docking is done using FlexX™ software.
 466. The method of claim 464, wherein said docking is done using done using HADDOCK software.
 467. The method of claim 466, wherein said LRP β-propeller domain is an LRP5-PD3.
 468. The method of claim 467, wherein amino acids Y719, E721, R764, W780, D887, and F888 of said LRP5-PD3 are defined as active residues, and R652, A653, V694, K697, D718, Q737, G738, N762, G781, P784, R805, W863, H866, and M890 are defined as passive residues.
 469. The method of claim 459, wherein said method further comprises the step of ranking said identified compounds on the basis of their predicted ability to bind to said receptor site.
 470. The method of claim 469, wherein said ranking step is done using Cscore™ software.
 471. The method of claim 470, wherein said ranking step is done using Fscore™ scores.
 472. The method of claim 459, wherein said method further comprises the step of determining whether said identified compounds bind to said receptor site using NMR spectroscopy.
 473. The method of claim 459, wherein said method further comprises the step of determining the binding affinity of said identified compounds bind to said receptor site using fluorescence spectroscopy.
 474. The method of claim 459, wherein said determining step is done using a transcription assay.
 475. The method of claim 474, wherein said transcription assay is done by measuring LEF-1 activity.
 476. The method of claim 459, wherein said determining step is done by using a Xenopus embryo secondary axis formation model.
 477. A method for identifying a compound that modulates Dkk activity in a cell, said method comprising: a. providing a molecular model of a Dkk cysteine-rich domain; b. designing a query to conduct a conformational search for compounds that fit a receptor site in said Dkk cysteine-rich domain; c. screening a plurality of compounds to identify compounds that meet the requirements of said query; and d. determining whether said identified compounds modulates Dkk activity in a cell.
 478. The method of claim 477, wherein said Dkk cysteine-rich domain is a Dkk2C.
 479. The method of claim 478, wherein said Dkk2C is a Dkk2C2.
 480. The method of claim 477, wherein said Dkk cysteine-rich domain is a Dkk1C.
 481. The method of claim 480, wherein said Dkk1C is a Dkk1C2.
 482. The method of claim 477, wherein said query is designed using SYBYL® software.
 483. The method of claim 477, wherein said screening is done using UNITY® software.
 484. The method of claim 477, wherein said method further includes the step of docking said identified compounds into said receptor site using a computer program, and removing identified compounds that do not dock into said receptor site.
 485. The method of claim 484, wherein said docking is done using FlexX™ software.
 486. The method of claim 484, wherein said docking is done using done using HADDOCK software.
 487. The method of claim 486, wherein said Dkk cysteine-rich domain is a Dkk2C2.
 488. The method of claim 487, wherein amino acids H198, K205, R230, and H254 of said Dkk2C2 are defined as active residues, and E179, F199, W200, T201, L203, P206, E212, V213, K216, Q217, E226, I227, Q229, V241, T246, S249, R252, and L253 are defined as passive residues.
 489. The method of claim 486, wherein said Dkk cysteine-rich domain is a Dkk1C2.
 490. The method of claim 489, wherein amino acids H210, K217, R242, and H267 of said Dkk1C2 are defined as active residues, and E191, F211, W212, T213, L215, P218, V225, K228, E238, I239, Q241, S261, R265, and L266 are defined as passive residues.
 491. The method of claim 477, wherein said method further comprises the step of ranking said identified compounds on the basis of their predicted ability to bind to said receptor site.
 492. The method of claim 491, wherein said ranking step is done using Cscore™ software.
 493. The method of claim 492, wherein said ranking step is done using Fscore™ scores.
 494. The method of claim 477, wherein said method further comprises the step of determining whether said identified compounds bind to said receptor site using NMR spectroscopy.
 495. The method of claim 477, wherein said method further comprises the step of determining the binding affinity of said identified compounds bind to said receptor site using fluorescence spectroscopy.
 496. The method of claim 477, wherein said determining step is done using a transcription assay.
 497. The method of claim 496, wherein said transcription assay is done by measuring LEF-1 activity.
 498. The method of claim 477, wherein said determining step is done by using a Xenopus embryo secondary axis formation model.
 499. A method for identifying a compound that modulates Wnt activity in a cell, said method comprising: a. providing a molecular model of a Dkk cysteine-rich domain; b. designing a query to conduct a conformational search for compounds that fit a receptor site in said Dkk cysteine-rich domain; c. screening a plurality of compounds to identify compounds that meet the requirements of said query; and d. determining whether said identified compounds modulates Wnt activity in a cell.
 500. The method of claim 499, wherein said Dkk cysteine-rich domain is a Dkk2C.
 501. The method of claim 500, wherein said Dkk2C is a Dkk2C2.
 502. The method of claim 499, wherein said Dkk cysteine-rich domain is a Dkk1C.
 503. The method of claim 502, wherein said Dkk1C is a Dkk1C2.
 504. The method of claim 499, wherein said query is designed using SYBYL® software.
 505. The method of claim 499, wherein said screening is done using UNITY® software.
 506. The method of claim 499, wherein said method further includes the step of docking said identified compounds into said receptor site using a computer program, and removing identified compounds that do not dock into said receptor site.
 507. The method of claim 506, wherein said docking is done using FlexX™ software.
 508. The method of claim 506, wherein said docking is done using done using HADDOCK software.
 509. The method of claim 508, wherein said Dkk cysteine-rich domain is a Dkk2C2.
 510. The method of claim 509, wherein amino acids H198, K205, R230, and H254 of said Dkk2C2 are defined as active residues, and E179, F199, W200, T201, L203, P206, E212, V213, K216, Q217, E226, I227, Q229, V241, T246, S249, R252, and L253 are defined as passive residues.
 511. The method of claim 508, wherein said Dkk cysteine-rich domain is a Dkk1C2.
 512. The method of claim 511, wherein amino acids H210, K217, R242, and H267 of said Dkk1C2 are defined as active residues, and E191, F211, W212, T213, L215, P218, V225, K228, E238, I239, Q241, S261, R265, and L266 are defined as passive residues.
 513. The method of claim 499, wherein said method further comprises the step of ranking said identified compounds on the basis of their predicted ability to bind to said receptor site.
 514. The method of claim 513, wherein said ranking step is done using Cscore™ software.
 515. The method of claim 514, wherein said ranking step is done using Fscore™ scores.
 516. The method of claim 499, wherein said method further comprises the step of determining whether said identified compounds bind to said receptor site using NMR spectroscopy.
 517. The method of claim 499, wherein said method further comprises the step of determining the binding affinity of said identified compounds bind to said receptor site using fluorescence spectroscopy.
 518. The method of claim 499, wherein said determining step is done using a transcription assay.
 519. The method of claim 518, wherein said transcription assay is done by measuring LEF-1 activity.
 520. The method of claim 499, wherein said determining step is done by using a Xenopus embryo secondary axis formation model.
 521. A method of treating a mammal having a Wnt-related disease, said method comprising administering to said mammal a compound that disrupts the interaction of a Dickkopf (Dkk) polypeptide with an LDL receptor-related protein (LRP) polypeptide.
 522. The method of claim 521, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 523. The method of claim 522, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 524. The method of claim 522, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 525. The method of claim 522, wherein said Dkk2 polypeptide is a cysteine-rich domain of a Dkk2 protein (Dkk2C).
 526. The method of claim 525, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 527. The method of claim 521, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 528. The method of claim 527, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 529. The method of claim 527, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 530. The method of claim 527, wherein said Dkk1 polypeptide is a cysteine-rich domain of a Dkk1 protein (Dkk1C).
 531. The method of claim 530, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 532. The method of claim 521, wherein said LRP polypeptide is an LRP5 polypeptide.
 533. The method of claim 532, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 534. The method of claim 532, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 535. The method of claim 532, wherein said LRP5 polypeptide is a β-propeller domain of a LRP5 polypeptide (LRP5-PD).
 536. The method of claim 535, wherein said LRP5-PD is an LRP5-PD3.
 537. The method of claim 521, wherein said LRP polypeptide is an LRP6 polypeptide.
 538. The method of claim 537, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 539. The method of claim 537, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 540. The method of claim 537, wherein said LRP6 polypeptide is a β-propeller domain of a LRP6 polypeptide (LRP6-PD).
 541. The method of claim 540, wherein said LRP6-PD is an LRP6-PD3.
 542. The method of claim 521, wherein said compound is a polypeptide.
 543. The method of claim 542, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 544. The method of claim 543, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO: 1 are conserved.
 545. The method of claim 543, wherein said compound comprises SEQ ID NO:
 1. 546. The method of claim 543, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 547. The method of claim 546, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 548. The method of claim 542, wherein said compound comprises SEQ ID NO:2.
 549. The method of claim 542, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 550. The method of claim 549, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 551. The method of claim 549, wherein said compound comprises SEQ ID NO:3.
 552. The method of claim 542, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 553. The method of claim 552, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 554. The method of claim 552, wherein said compound comprises SEQ ID NO:4.
 555. The method of claim 521, wherein said compound is a small molecule.
 556. The method of claim 521, wherein said compound is a Wnt agonist.
 557. The method of claim 521, wherein said compound is a Wnt antagonist.
 558. The method of claim 521, wherein said mammal is a human.
 559. The method of claim 521, wherein said Wnt-related disease is cancer.
 560. The method of claim 558, wherein said cancer is selected from the group consisting of colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, and bladder cancer.
 561. The method of claim 521, wherein said Wnt-related disease is selected from the group consisting of rheumatoid arthritis, schizophrenia, Alzheimer's disease, and increased bone density.
 562. A method of treating a mammal having a Wnt-related disease, said method comprising administering to said mammal a compound that forms: a. a hydrogen bond with E721, Y719, or D887 of the third propeller domain of human LRP5; b. a hydrophobic interaction with W780 or F888 of the third propeller domain of human LRP5; c. a hydrogen bond with Y706, E708 or D874 of the third propeller domain of human LRP6; or d. a hydrophobic interaction with W767, or F875 of the third propeller domain of human LRP6.
 563. The method of claim 562, wherein said hydrogen bond is with amino acid 77, 79, or 245 of SEQ ID NO:3 or SEQ ID NO:4, and wherein said hydrophobic interaction is with amino acid 138 or 246 of SEQ ID NO:3 or SEQ ID NO:4.
 564. The method of claim 562, wherein said compound forms hydrogen bonds with Y719, E721, and D887 of the third propeller domain of human LRP5.
 565. The method of claim 562, wherein said compound forms hydrophobic interactions with W780 and F888 of the third propeller domain of human LRP5.
 566. The method of claim 562, wherein said compound forms hydrogen bonds with Y719, E721, and D887, and hydrophobic interactions with W780 and F888 of the third propeller domain of human LRP5.
 567. The method of claim 562, wherein said compound forms hydrogen bonds with Y706, E708, and D874 of the third propeller domain of human LRP6.
 568. The method of claim 562, wherein said compound forms hydrophobic interactions with W767 and F875 of the third propeller domain of human LRP6.
 569. The method of claim 562, wherein said compound forms hydrogen bonds with Y706, E708, and D874, and hydrophobic interactions with W767 and F875 of the third propeller domain of human LRP6.
 570. The method of claim 562, wherein said compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 571. The method of claim 570, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 572. The method of claim 571, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 573. The method of claim 571, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 574. The method of claim 571, wherein said Dkk2 polypeptide is a Dkk2C polypeptide.
 575. The method of claim 574, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 576. The method of claim 570, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 577. The method of claim 576, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 578. The method of claim 576, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 579. The method of claim 576, wherein said Dkk1 polypeptide is a Dkk1C polypeptide.
 580. The method of claim 579, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 581. The method of claim 570, wherein said LRP polypeptide is an LRP5 polypeptide.
 582. The method of claim 581, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 583. The method of claim 581, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 584. The method of claim 581, wherein said LRP5 polypeptide is an LRP5-PD.
 585. The method of claim 584, wherein said LRP5-PD is an LRP5-PD3.
 586. The method of claim 570, wherein said LRP polypeptide is an LRP6 polypeptide.
 587. The method of claim 586, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 588. The method of claim 586, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 589. The method of claim 586, wherein said LRP6 polypeptide is an LRP6-PD.
 590. The method of claim 589, wherein said LRP6-PD is an LRP6-PD3.
 591. The method of claim 562, wherein said compound is a polypeptide.
 592. The method of claim 591, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 593. The method of claim 592, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO:1 are conserved.
 594. The method of claim 592, wherein said compound comprises SEQ ID NO:
 1. 595. The method of claim 591, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 596. The method of claim 595, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 597. The method of claim 595, wherein said compound comprises SEQ ID NO:2.
 598. The method of claim 562, wherein said compound is a Wnt agonist.
 599. The method of claim 562, wherein said compound is a Wnt antagonist.
 600. The method of claim 562, wherein said mammal is a human.
 601. The method of claim 562, wherein said Wnt-related disease is cancer.
 602. The method of claim 601, wherein said cancer is selected from the group consisting of colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, and bladder cancer.
 603. The method of claim 562, wherein said Wnt-related disease is selected from the group consisting of rheumatoid arthritis, schizophrenia, Alzheimer's disease, and increased bone density.
 604. A method of treating a mammal having a Wnt-related disease, said method comprising administering to said mammal a compound that forms: a. a hydrogen bond with H198, R230, or K205 of mouse Dkk2; b. a hydrophobic interaction with W200, F199, L253, or I227 of mouse Dkk2; c. a hydrogen bond with H210, R242, or K217 of mouse Dkk1; or d. a hydrophobic interaction with W212, F211, L266, or I239 of mouse Dkk1.
 605. The method of claim 604, wherein said hydrogen bond is with amino acid 27, 59, or 34 of SEQ ID NO: 1, and wherein said hydrophobic interaction is with amino acid 28, 29, 82, or 56 of SEQ ID NO:1.
 606. The method of claim 604, wherein said hydrogen bond is with amino acid 27, 59, or 34 of SEQ ID NO:2, and wherein said hydrophobic interaction is with amino acid 28, 29, 83, or 56 of SEQ ID NO:2.
 607. The method of claim 604, wherein said compound forms hydrogen bonds with H198, R230, and K205 of mouse Dkk2.
 608. The method of claim 604, wherein said compound forms hydrophobic interactions with W200, F199, L253, and I227 of mouse Dkk2.
 609. The method of claim 604, wherein said compound forms hydrogen bonds with H198, R230, and K205, and hydrophobic interactions with W200, F199, L253, and I227 of mouse Dkk2.
 610. The method of claim 604, wherein said compound forms hydrogen bonds with H210, R242, and K217 of mouse Dkk1.
 611. The method of claim 604, wherein said compound forms hydrophobic interactions with W212, F211, L266, and I239 of mouse Dkk1.
 612. The method of claim 604, wherein said compound forms hydrogen bonds with H210, R242, and K217, and hydrophobic interactions with W212, F211, L266, and I239 of mouse Dkk1.
 613. The method of claim 604, wherein said compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 614. The method of claim 613, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 615. The method of claim 614, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 616. The method of claim 614, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 617. The method of claim 614, wherein said Dkk2 polypeptide is a Dkk2C polypeptide.
 618. The method of claim 617, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 619. The method of claim 613, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 620. The method of claim 619, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 621. The method of claim 619, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 622. The method of claim 619, wherein said Dkk1 polypeptide is a Dkk1C polypeptide.
 623. The method of claim 622, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 624. The method of claim 613, wherein said LRP polypeptide is an LRP5 polypeptide.
 625. The method of claim 624, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 626. The method of claim 624, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 627. The method of claim 624, wherein said LRP5 polypeptide is an LRP5-PD.
 628. The method of claim 627, wherein said LRP5-PD is an LRP5-PD3.
 629. The method of claim 613, wherein said LRP polypeptide is an LRP6 polypeptide.
 630. The method of claim 629, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 631. The method of claim 629, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 632. The method of claim 629, wherein said LRP6 polypeptide is an LRP6-PD.
 633. The method of claim 632, wherein said LRP6-PD is an LRP6-PD3.
 634. The method of claim 604, wherein said compound is a polypeptide.
 635. The method of claim 634, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 636. The method of claim 635, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 637. The method of claim 635, wherein said compound comprises SEQ ID NO:3.
 638. The method of claim 634, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 639. The method of claim 638, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 640. The method of claim 638, wherein said compound comprises SEQ ID NO:4.
 641. The method of claim 604, wherein said compound is a Wnt agonist.
 642. The method of claim 604, wherein said compound is a Wnt antagonist.
 643. The method of claim 604, wherein said mammal is a human.
 644. The method of claim 604, wherein said Wnt-related disease is cancer.
 645. The method of claim 644, wherein said cancer is selected from the group consisting of colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, and bladder cancer.
 646. The method of claim 604, wherein said Wnt-related disease is selected from the group consisting of rheumatoid arthritis, schizophrenia, Alzheimer's disease, and increased bone density.
 647. A method of treating a mammal having a Wnt-related disease, said method comprising administering to said mammal a composition that modulates Dkk activity in a cell, said composition comprising a compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 648. The method of claim 647, wherein said Dkk activity is increased.
 649. The method of claim 647, wherein said Dkk activity is decreased.
 650. The method of claim 647, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 651. The method of claim 650, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 652. The method of claim 650, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 653. The method of claim 650, wherein said Dkk2 polypeptide is a Dkk2C.
 654. The method of claim 653, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 655. The method of claim 647, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 656. The method of claim 655, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 657. The method of claim 655, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 658. The method of claim 655, wherein said Dkk1 polypeptide is a Dkk1C.
 659. The method of claim 658, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 660. The method of claim 647, wherein said LRP polypeptide is an LRP5 polypeptide.
 661. The method of claim 660, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 662. The method of claim 660, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 663. The method of claim 660, wherein said LRP5 polypeptide is an LRP5-PD.
 664. The method of claim 663, wherein said LRP5-PD is an LRP5-PD3.
 665. The method of claim 647, wherein said LRP6 polypeptide is an LRP6 polypeptide.
 666. The method of claim 665, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 667. The method of claim 665, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 668. The method of claim 665, wherein said LRP5 polypeptide is an LRP6-PD.
 669. The method of claim 668, wherein said LRP6-PD is an LRP6-PD3.
 670. The method of claim 647, wherein said compound is a polypeptide.
 671. The method of claim 670, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 672. The method of claim 671, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO:1 are conserved.
 673. The method of claim 671, wherein said compound comprises SEQ ID NO:
 1. 674. The method of claim 670, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 675. The method of claim 674, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 676. The method of claim 674, wherein said compound comprises SEQ ID NO:2.
 677. The method of claim 670, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 678. The method of claim 677, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 679. The method of claim 677, wherein said compound comprises SEQ ID NO:3.
 680. The method of claim 670, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 681. The method of claim 680, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 682. The method of claim 680, wherein said compound comprises SEQ ID NO:4.
 683. The method of claim 647, wherein said compound is a small molecule.
 684. The method of claim 647, wherein said mammal is a human.
 685. The method of claim 647, wherein said Wnt-related disease is cancer.
 686. The method of claim 685, wherein said cancer is selected from the group consisting of colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, and bladder cancer.
 687. The method of claim 647, wherein said Wnt-related disease is selected from the group consisting of rheumatoid arthritis, schizophrenia, Alzheimer's disease, and increased bone density.
 688. A method of treating a mammal having a Wnt-related disease, said method comprising administering to said mammal a composition that modulates Wnt activity in a cell, said composition comprising a compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 689. The method of claim 688, wherein said Wnt activity is increased.
 690. The method of claim 688, wherein said Wnt activity is decreased.
 691. The method of claim 688, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 692. The method of claim 691, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 693. The method of claim 691, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 694. The method of claim 691, wherein said Dkk2 polypeptide is a Dkk2C.
 695. The method of claim 694, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 696. The method of claim 688, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 697. The method of claim 696, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 698. The method of claim 696, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 699. The method of claim 696, wherein said Dkk1 polypeptide is a Dkk1C.
 700. The method of claim 699, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 701. The method of claim 688, wherein said LRP polypeptide is an LRP5 polypeptide.
 702. The method of claim 701, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 703. The method of claim 701, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 704. The method of claim 701, wherein said LRP5 polypeptide is an LRP5-PD.
 705. The method of claim 704, wherein said LRP5-PD is an LRP5-PD3.
 706. The method of claim 688, wherein said LRP polypeptide is an LRP6 polypeptide.
 707. The method of claim 706, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 708. The method of claim 706, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 709. The method of claim 706, wherein said LRP6 polypeptide is an LRP6-PD.
 710. The method of claim 709, wherein said LRP6-PD is an LRP6-PD3.
 711. The method of claim 688, wherein said compound is a polypeptide.
 712. The method of claim 711, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 713. The method of claim 712, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO: 1 are conserved.
 714. The method of claim 712, wherein said compound comprises SEQ ID NO:
 1. 715. The method of claim 711, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 716. The method of claim 715, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 717. The method of claim 715, wherein said compound comprises SEQ ID NO:2.
 718. The method of claim 711, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 719. The method of claim 718, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 720. The method of claim 718, wherein said compound comprises SEQ ID NO:3.
 721. The method of claim 711, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 722. The method of claim 721, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 723. The method of claim 721, wherein said compound comprises SEQ ID NO:4.
 724. The method of claim 688, wherein said compound is a small molecule.
 725. The method of claim 688, wherein said mammal is a human.
 726. The method of claim 688, wherein said Wnt-related disease is cancer.
 727. The method of claim 726, wherein said cancer is selected from the group consisting of colon cancer, breast cancer, melanoma, head and neck cancer, non-small-cell lung cancer, gastric cancer, mesothelioma, Barrett's esophagus, synovial sarcoma, cervical cancer, leukemia, prostate cancer, lung cancer, and bladder cancer.
 728. The method of claim 688, wherein said Wnt-related disease is selected from the group consisting of rheumatoid arthritis, schizophrenia, Alzheimer's disease, and increased bone density.
 729. A composition comprising a compound that disrupts the interaction of a Dickkopf (Dkk) polypeptide with an LDL receptor-related protein (LRP) polypeptide and a pharmaceutically acceptable carrier.
 730. The composition of claim 729, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 731. The composition of claim 730, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 732. The composition of claim 730, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 733. The composition of claim 730, wherein said Dkk2 polypeptide is a cysteine-rich domain of a Dkk2 protein (Dkk2C).
 734. The composition of claim 733, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 735. The composition of claim 729, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 736. The composition of claim 735, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 737. The composition of claim 735, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 738. The composition of claim 735, wherein said Dkk1 polypeptide is a cysteine-rich domain of a Dkk1 protein (Dkk1C).
 739. The composition of claim 738, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 740. The composition of claim 729, wherein said LRP polypeptide is an LRP5 polypeptide.
 741. The composition of claim 740, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 742. The composition of claim 740, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 743. The composition of claim 740, wherein said LRP5 polypeptide is a β-propeller domain of a LRP5 polypeptide (LRP5-PD).
 744. The composition of claim 743, wherein said LRP5-PD is an LRP5-PD3.
 745. The composition of claim 729, wherein said LRP polypeptide is an LRP6 polypeptide.
 746. The composition of claim 745, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 747. The composition of claim 745, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 748. The composition of claim 745, wherein said LRP6 polypeptide is a β-propeller domain of a LRP6 polypeptide (LRP6-PD).
 749. The composition of claim 748, wherein said LRP6-PD is an LRP6-PD3.
 750. The composition of claim 729, wherein said compound is a polypeptide.
 751. The composition of claim 750, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 752. The composition of claim 751, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO: 1 are conserved.
 753. The composition of claim 751, wherein said compound comprises SEQ ID NO:
 1. 754. The composition of claim 750, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 755. The composition of claim 754, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 756. The composition of claim 754, wherein said compound comprises SEQ ID NO:2.
 757. The composition of claim 750, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 758. The composition of claim 757, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 759. The composition of claim 757, wherein said compound comprises SEQ ID NO:3.
 760. The composition of claim 750, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 761. The composition of claim 760, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 762. The composition of claim 760, wherein said compound comprises SEQ ID NO:4.
 763. The composition of claim 729, wherein said compound is a small molecule.
 764. The composition of claim 729, wherein said compound is a Wnt agonist.
 765. The composition of claim 729, wherein said compound is a Wnt antagonist.
 766. The composition of claim 729, wherein said composition is formulated for administration by inhalation, oral, intravenous, intraperitoneal, intramuscular, parenteral, transdermal, intravaginal, intranasal, mucosal, sublingual, topical, rectal, or subcutaneous administration.
 767. The composition of claim 729, wherein said composition is formulated as a pill, a tablet, a dragee, a liquid, a gel, a capsule, a syrup, a slurry, or a suspension.
 768. A composition comprising a compound and a pharmaceutically acceptable carrier, said compound forming: a. a hydrogen bond with E721, Y719, or D887 of the third propeller domain of human LRP5; b. a hydrophobic interaction with W780 or F888 of the third propeller domain of human LRP5; c. a hydrogen bond with Y706, E708 or D874 of the third propeller domain of human LRP6; or d. a hydrophobic interaction with W767, or F875 of the third propeller domain of human LRP6.
 769. The composition of claim 768, wherein said hydrogen bond is with amino acid 77, 79, or 245 of SEQ ID NO:3 or SEQ ID NO:4, and wherein said hydrophobic interaction is with amino acid 138 or 246 of SEQ ID NO:3 or SEQ ID NO:4.
 770. The composition of claim 768, wherein said compound forms hydrogen bonds with Y719, E721, and D887 of the third propeller domain of human LRP5.
 771. The composition of claim 768, wherein said compound forms hydrophobic interactions with W780 and F888 of the third propeller domain of human LRP5.
 772. The composition of claim 768, wherein said compound forms hydrogen bonds with Y719, E721, and D887, and hydrophobic interactions with W780 and F888 of the third propeller domain of human LRP5.
 773. The composition of claim 768, wherein said compound forms hydrogen bonds with Y706, E708, and D874 of the third propeller domain of human LRP6.
 774. The composition of claim 768, wherein said compound forms hydrophobic interactions with W767 and F875 of the third propeller domain of human LRP6.
 775. The composition of claim 768, wherein said compound forms hydrogen bonds with Y706, E708, and D874, and hydrophobic interactions with W767 and F875 of the third propeller domain of human LRP6.
 776. The composition of claim 768, wherein said compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 777. The composition of claim 776, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 778. The composition of claim 777, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 779. The composition of claim 777, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 780. The composition of claim 777, wherein said Dkk2 polypeptide is a Dkk2C polypeptide.
 781. The composition of claim 780, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 782. The composition of claim 776, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 783. The composition of claim 782, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 784. The composition of claim 782, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 785. The composition of claim 782, wherein said Dkk1 polypeptide is a Dkk1C polypeptide.
 786. The composition of claim 785, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 787. The composition of claim 776, wherein said LRP polypeptide is an LRP5 polypeptide.
 788. The composition of claim 787, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 789. The composition of claim 787, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 790. The composition of claim 787, wherein said LRP5 polypeptide is an LRP5-PD.
 791. The composition of claim 790, wherein said LRP5-PD is an LRP5-PD3.
 792. The composition of claim 776, wherein said LRP polypeptide is an LRP6 polypeptide.
 793. The composition of claim 792, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 794. The composition of claim 792, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 795. The composition of claim 792, wherein said LRP6 polypeptide is an LRP6-PD.
 796. The composition of claim 795, wherein said LRP6-PD is an LRP6-PD3.
 797. The composition of claim 768, wherein said compound is a polypeptide.
 798. The composition of claim 797, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:
 1. 799. The composition of claim 798, wherein amino acids 27-29, 34, 56, 59, 82, and 83 of SEQ ID NO: 1 are conserved.
 800. The composition of claim 798, wherein said compound comprises SEQ ID NO:
 1. 801. The composition of claim 797, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:2.
 802. The composition of claim 801, wherein amino acids 27-29, 34, 56, 59, 83, and 84 of SEQ ID NO:2 are conserved.
 803. The composition of claim 801, wherein said compound comprises SEQ ID NO:2.
 804. The composition of claim 768, wherein said compound is a Wnt agonist.
 805. The composition of claim 768, wherein said compound is a Wnt antagonist.
 806. The composition of claim 768, wherein said composition is formulated for administration by inhalation, oral, intravenous, intraperitoneal, intramuscular, parenteral, transdermal, intravaginal, intranasal, mucosal, sublingual, topical, rectal, or subcutaneous administration.
 807. The composition of claim 768, wherein said composition is formulated as a pill, a tablet, a dragee, a liquid, a gel, a capsule, a syrup, a slurry, or a suspension.
 808. A composition comprising a compound and a pharmaceutically acceptable carrier, said compound forming: a. a hydrogen bond with H198, R230, or K205 of mouse Dkk2; b. a hydrophobic interaction with W200, F199, L253, or I227 of mouse Dkk2; c. a hydrogen bond with H210, R242, or K217 of mouse Dkk1; or d. a hydrophobic interaction with W212, F211, L266, or I239 of mouse Dkk1.
 809. The composition of claim 808, wherein said hydrogen bond is with amino acid 27, 59, or 34 of SEQ ID NO: 1, and wherein said hydrophobic interaction is with amino acid 28, 29, 82, or 56 of SEQ ID NO:
 1. 810. The composition of claim 808, wherein said hydrogen bond is with amino acid 27, 59, or 34 of SEQ ID NO:2, and wherein said hydrophobic interaction is with amino acid 28, 29, 83, or 56 of SEQ ID NO:2.
 811. The composition of claim 808, wherein said compound forms hydrogen bonds with H198, R230, and K205 of mouse Dkk2.
 812. The composition of claim 808, wherein said compound forms hydrophobic interactions with W200, F199, L253, and I227 of mouse Dkk2.
 813. The composition of claim 808, wherein said compound forms hydrogen bonds with H198, R230, and K205, and hydrophobic interactions with W200, F199, L253, and I227 of mouse Dkk2.
 814. The composition of claim 808, wherein said compound forms hydrogen bonds with H210, R242, and K217 of mouse Dkk1 .
 815. The composition of claim 808, wherein said compound forms hydrophobic interactions with W212, F211, L266, and I239 of mouse Dkk1.
 816. The composition of claim 808, wherein said compound forms hydrogen bonds with H210, R242, and K217, and hydrophobic interactions with W212, F211, L266, and I239 of mouse Dkk1.
 817. The composition of claim 808, wherein said compound disrupts the interaction of a Dkk polypeptide with an LRP polypeptide.
 818. The composition of claim 817, wherein said Dkk polypeptide is a Dkk2 polypeptide.
 819. The composition of claim 818, wherein said Dkk2 polypeptide is a mouse Dkk2 polypeptide.
 820. The composition of claim 818, wherein said Dkk2 polypeptide is a human Dkk2 polypeptide.
 821. The composition of claim 818, wherein said Dkk2 polypeptide is a Dkk2C polypeptide.
 822. The composition of claim 821, wherein said Dkk2C polypeptide is a Dkk2C2 polypeptide.
 823. The composition of claim 817, wherein said Dkk polypeptide is a Dkk1 polypeptide.
 824. The composition of claim 823, wherein said Dkk1 polypeptide is a mouse Dkk1 polypeptide.
 825. The composition of claim 823, wherein said Dkk1 polypeptide is a human Dkk1 polypeptide.
 826. The composition of claim 823, wherein said Dkk1 polypeptide is a Dkk1C polypeptide.
 827. The composition of claim 826, wherein said Dkk1C polypeptide is a Dkk1C2 polypeptide.
 828. The composition of claim 817, wherein said LRP polypeptide is an LRP5 polypeptide.
 829. The composition of claim 828, wherein said LRP5 polypeptide is a mouse LRP5 polypeptide.
 830. The composition of claim 828, wherein said LRP5 polypeptide is a human LRP5 polypeptide.
 831. The composition of claim 828, wherein said LRP5 polypeptide is an LRP5-PD.
 832. The composition of claim 831, wherein said LRP5-PD is an LRP5-PD3.
 833. The composition of claim 817, wherein said LRP polypeptide is an LRP6 polypeptide.
 834. The composition of claim 833, wherein said LRP6 polypeptide is a mouse LRP6 polypeptide.
 835. The composition of claim 833, wherein said LRP6 polypeptide is a human LRP6 polypeptide.
 836. The composition of claim 833, wherein said LRP6 polypeptide is an LRP6-PD.
 837. The composition of claim 836, wherein said LRP6-PD is an LRP6-PD3.
 838. The composition of claim 808, wherein said compound is a polypeptide.
 839. The composition of claim 838, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:3.
 840. The composition of claim 839, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:3 are conserved.
 841. The composition of claim 839, wherein said compound comprises SEQ ID NO:3.
 842. The composition of claim 838, wherein said compound comprises a sequence having at least 60% identity to SEQ ID NO:4.
 843. The composition of claim 842, wherein amino acids 77, 79, 138, 245, and 246 of SEQ ID NO:4 are conserved.
 844. The composition of claim 842, wherein said compound comprises SEQ ID NO:4.
 845. The composition of claim 808, wherein said compound is a Wnt agonist.
 846. The composition of claim 808, wherein said compound is a Wnt antagonist.
 847. The composition of claim 768, wherein said composition is formulated for administration by inhalation, oral, intravenous, intraperitoneal, intramuscular, parenteral, transdermal, intravaginal, intranasal, mucosal, sublingual, topical, rectal, or subcutaneous administration.
 848. The composition of claim 768, wherein said composition is formulated as a pill, a tablet, a dragee, a liquid, a gel, a capsule, a syrup, a slurry, or a suspension. 